Individual
BENNIE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
55 MAUILANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6565
Mailing address
55 MAUILANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3256
HI
183500000X
Pharmacist
7185
NM
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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