Individual
STACY PI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 ALAKAWA ST, SUITE 101, HONOLULU, HI 96817-5700
(808) 432-5576
Mailing address
501 ALAKAWA ST, SUITE 101, HONOLULU, HI 96817-5700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-1759
HI
Other
Enumeration date
01/31/2007
Last updated
12/11/2015
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