Organization
UNIVERSITY OF HAWAII AT MANOA
Active
Other names
University of Hawaii at Hilo Student Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
MIMI PEZZUTO (PHARMACIST IN CHARGE)
(808) 932-7369
Entity
Organization
Contact information
Practice address
200 W KAWILI ST, HILO, HI 96720-4075
(808) 932-7369
Mailing address
200 W KAWILI ST, HILO, HI 96720-4075
(808) 932-7369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY-832
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143166
PK
—
Enumeration date
09/22/2009
Last updated
08/07/2014
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