# UNIVERSITY OF HAWAII AT MANOA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** University of Hawaii at Hilo Student Medical Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629302773
- **Authorized official:** MIMI PEZZUTO (PHARMACIST IN CHARGE)
- **Authorized official phone:** (808) 932-7369

## Contact information

- **Practice address:** 200 W KAWILI ST, HILO, HI 96720-4075
- **Practice address phone:** (808) 932-7369
- **Mailing address:** 200 W KAWILI ST, HILO, HI 96720-4075
- **Mailing address phone:** (808) 932-7369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY-832 | HI | Yes |

## Other

- **Enumeration date:** 09/22/2009
- **Last updated:** 08/07/2014