Individual
DR. MADISON AHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
56-119 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9514
Mailing address
61-1011 TUTU PL, HALEIWA, HI 96712-1356
(209) 275-8198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43570
TN
183500000X
Pharmacist
4515
HI
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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