Individual
DR. TIFFANY PUALEI SANTORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
67-1185 MAMALAHOA HIGHWAY # C101, KAMUELA, HI 96743-8594
(808) 885-2075
Mailing address
73-1105 NUUANU PL UNIT B102, KAILUA KONA, HI 96740-8594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3204
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3204
LICENSE
HI
Enumeration date
04/25/2012
Last updated
04/25/2012
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