Healthcare Provider Details

I. General information

NPI: 1245852987
Provider Name (Legal Business Name): CHRISTOPHER LAI HIPP PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2020
Last Update Date: 05/16/2020
Certification Date: 05/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-2141 FORT WEAVER RD
EWA BEACH HI
96706-1993
US

IV. Provider business mailing address

1452 ALA HEKILI PL
HONOLULU HI
96819-1427
US

V. Phone/Fax

Practice location:
  • Phone: 808-561-7488
  • Fax:
Mailing address:
  • Phone: 808-561-7488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPH3602
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License NumberPH3602
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: