Individual
LISA FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 N SCHOOL ST, HONOLULU, HI 96817-1844
(808) 832-8265
Mailing address
1173 21ST AVE, HONOLULU, HI 96816-4637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-3952
HI
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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