Individual
JERRICK TABOADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
94-216 FARRINGTON HWY STE 102, WAIPAHU, HI 96797-1900
(808) 677-5550
Mailing address
94-502 LOAA ST, WAIPAHU, HI 96797-1510
(808) 234-3952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-4488
HI
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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