Individual
DEREK M TENGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-216 FARRINGTON HWY STE 102, WAIPAHU, HI 96797-1900
(808) 630-8388
Mailing address
1568 ALA PUUMALU ST, HONOLULU, HI 96818-1547
(808) 630-8388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-2099
HI
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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