Individual
CARRIE SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99-115 AIEA HEIGHTS DR, AIEA, HI 96701-3924
(808) 483-3071
(808) 483-3087
Mailing address
94-1135 KUKULA ST, WAIPAHU, HI 96797-5261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1237
HI
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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