Individual
PEGGY J BASINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.PH.T
Contact information
Practice address
78-6831 ALII DR, KAILUA KONA, HI 96740-2495
(808) 929-9296
Mailing address
PO BOX 206, CAPTAIN COOK, HI 96704-0206
(808) 929-9296
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
130109478952938
HI
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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