Individual
JODI NISHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1650 LILIHA ST STE 101, HONOLULU, HI 96817-3169
(530) 420-5844
Mailing address
929 15TH AVE, HONOLULU, HI 96816-3615
(808) 445-0578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH2080
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH-2080
STATE BOARD OF PHARMACY
HI
Enumeration date
04/06/2019
Last updated
04/06/2019
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