Individual
STEVEN NISHIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
75-5751 KUAKINI HWY, STE #104, KAILUA KONA, HI 96740-1752
(808) 326-5629
Mailing address
75-5751 KUAKINI HWY, STE #104, KAILUA KONA, HI 96740-1752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 3708
HI
Other
Enumeration date
03/18/2015
Last updated
04/28/2016
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