Individual
DR. JASON BOTELHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
555 KILAUEA AVE, HILO, HI 96720-3011
(808) 935-9075
Mailing address
555 KILAUEA AVE, HILO, HI 96720-3011
(808) 935-9075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-2477
HI
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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