Individual
TAZ TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 FARRINGTON HWY UNIT 300, KAPOLEI, HI 96707-2002
(808) 674-0269
Mailing address
95-783 LANIPAA ST, MILILANI, HI 96789-2905
(808) 726-0298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-5100
HI
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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