Individual
MERVIN LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4850 KAPOLEI PKWY, KAPOLEI, HI 96707-3203
(808) 674-1156
Mailing address
94-424 PUNONO ST, MILILANI, HI 96789-2567
(808) 226-8332
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
717
HI
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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