Individual
TRACI MICHIKO KUSAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
135 KAMEHAMEHA HWY, WAHIAWA, HI 96786
(808) 622-1050
Mailing address
135 KAMEHAMEHA HWY, WAHIAWA, HI 96786
(808) 622-1050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH3907
HI
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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