Individual
ANDREW AGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1131 KUALA ST, PEARL CITY, HI 96782-2886
(808) 454-8792
Mailing address
91-2012 LAAKONA PL, EWA BEACH, HI 96706-4020
(808) 392-5666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-4504
HI
Other
Enumeration date
12/02/2019
Last updated
09/22/2020
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