Individual
DR. WALTER DOUGLAS DISNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
75-1027 HENRY ST, KAILUA KONA, HI 96740-3154
(808) 327-6778
(808) 327-6782
Mailing address
75-1027 HENRY ST, KAILUA KONA, HI 96740-3154
(808) 327-6778
(808) 327-6782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH2378
HI
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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