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NPI Code Detail

MEDICARE: DR. DEXTER DEAN MAR R.PH.

MEDICARE: DR. DEXTER DEAN MAR R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH-462HI

General Provider Information

NPI Number : 1144355710
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEXTER DEAN MAR R.PH.
Provider Business Mailing Address
First Line : 821 OCEAN VIEW DR
Second Line :
City : HONOLULU
State : HI
Zip : 96816-3605
Country : US
Telephone Number : 808-735-0489
Fax Number :
Provider Business Practice Location Address
First Line : 2969 MAPUNAPUNA PL
Second Line : KAISER PERMANENTE
City : HONOLULU
State : HI
Zip : 96819-2000
Country : US
Telephone Number : 808-432-8888
Fax Number : 808-677-1960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/08/2007

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