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Individual

TRACIE L. SANJUME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, BCPS, CDCES

Contact information

Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 473-1880
(808) 473-4449
Mailing address
NAVAL HEALTH CLINIC HAWAII, 480 CENTRAL AVENUE, PEARL HARBOR, HI 96860-4908
(808) 473-1880
(808) 473-4449

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
2349
HI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
53772
CA
1835P1200X
Pharmacotherapy Pharmacist
2349
HI
1835P1200X
Pharmacotherapy Pharmacist
53772
CA

Other

Enumeration date
10/19/2005
Last updated
08/16/2023
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