Individual
MARQ WAYNE SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
670 PONAHAWAI ST STE 213, HILO, HI 96720-2660
(808) 933-8555
(808) 933-3070
Mailing address
32B PUNAHELE ST, HILO, HI 96720-2057
(808) 933-8555
(808) 933-3070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY336
HI
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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