Individual
DEENA TANIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 CALIFORNIA AVE STE 105, WAHIAWA, HI 96786-1841
(808) 622-2773
Mailing address
1757F WALEA ST, WAHIAWA, HI 96786-2508
(808) 291-2166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-4730
HI
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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