Individual
ARIELLE BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
101 PAKAULA ST, KAHULUI, HI 96732-3508
(808) 871-7012
Mailing address
777 S KIHEI RD APT 227, KIHEI, HI 96753-7513
(808) 226-8903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-4527
HI
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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