Individual
DR. SUPAKIT WONGWIWATTHANANUKIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., PH.D.
Contact information
Practice address
50 MAILE ST APT A22, HILO, HI 96720-4381
(808) 933-2947
(808) 933-2974
Mailing address
50A MAILE ST APT 22, HILO, HI 96720-4349
(808) 933-2947
(808) 933-2974
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH-2805
HI
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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