Individual
STACEY NISHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 HAMAKUA DR, KAILUA, HI 96734-3984
(808) 432-3451
Mailing address
2824A PUUMELE PL, HONOLULU, HI 96817-1420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2007
HI
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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