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Individual

MALTE BREITLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6565
(808) 243-6568
Mailing address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6565
(808) 243-6568

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18480
CO
183500000X
Pharmacist
3539
HI

Other

Enumeration date
10/27/2010
Last updated
06/18/2015
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