Healthcare Provider Details

I. General information

NPI: 1265934418
Provider Name (Legal Business Name): SHARON MURATA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2018
Last Update Date: 03/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 WAIALAE AVE
HONOLULU HI
96816-5842
US

IV. Provider business mailing address

3221 WAIALAE AVE
HONOLULU HI
96816-5842
US

V. Phone/Fax

Practice location:
  • Phone: 808-735-2811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number927
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: