Individual
JORDAN SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
888 KAPAHULU AVE, HONOLULU, HI 96816-1497
(808) 733-2606
(808) 733-2616
Mailing address
98-468 HOONO ST, PEARL CITY, HI 96782-2338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-3548
HI
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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