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Individual

MARK MIERZWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
45-710 KEAAHALA RD, BUILDING G - PHARMACY, KANEOHE, HI 96744-3528
(808) 236-8350
(808) 247-2037
Mailing address
45-710 KEAAHALA RD, BUILDING G - PHARMACY, KANEOHE, HI 96744-3528
(808) 236-8350
(808) 247-2037

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
28RI02758600
NJ
1835P1300X
Psychiatric Pharmacist
Primary
PH 2132
HI

Other

Enumeration date
02/24/2017
Last updated
02/24/2017
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