Individual
TIARE GOROSPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6565
Mailing address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3479
HI
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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