Individual
LYDIA CHIEMI TABISOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3150
Mailing address
45-601 HULINUU PL, KANEOHE, HI 96744-3408
(808) 247-4795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 2522
HI
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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