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Individual

DR. SHOGO JOHN MIYAGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD PHD MS BCPPS

Contact information

Practice address
1319 PUNAHOU ST BSMT, HONOLULU, HI 96826-1080
(808) 983-8130
Mailing address
1319 PUNAHOU ST BSMT, HONOLULU, HI 96826-1080
(808) 983-8130

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-4417
HI
3336C0002X
Clinic Pharmacy
Primary
PH-4417
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IND-915218
BOARD OF PHARMACY SPECIALTIES
01
PH-4417
STATE OF HAWAII - BOARD OF PHARMACY
HI
Enumeration date
08/06/2024
Last updated
04/09/2026
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