Individual
LILY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
555 KILAUEA AVE, HILO, HI 96720-3011
(808) 212-5576
Mailing address
545 KANOELEHUA AVE, HILO, HI 96720-4561
(808) 212-5576
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-5008-0
HI
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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