Individual
MATTHEW DISANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2121
Mailing address
2662 KALIALANI CIR, MAKAWAO, HI 96768-8455
(808) 214-7571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-2855
HI
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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