Individual
KEN VANDENBUSSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 NUHOU ST, LIHUE, HI 96766-8002
(808) 241-4009
(808) 241-4006
Mailing address
PO BOX 37, KEKAHA, HI 96752-0037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1745
HI
Other
Enumeration date
03/10/2012
Last updated
03/10/2012
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