Individual
ROGER T NISHIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1173 21ST AVE, HONOLULU, HI 96816-4637
(808) 733-2035
(808) 733-2462
Mailing address
98-1556 HOOMAHILU ST, PEARL CITY, HI 96782-2323
(808) 733-2035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
875
HI
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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