Healthcare Provider Details

I. General information

NPI: 1588218374
Provider Name (Legal Business Name): LINNEA KWAILIN TOKUSHIGE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 09/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PUNCHBOWL ST
HONOLULU HI
96813-2499
US

IV. Provider business mailing address

1301 PUNCHBOWL ST
HONOLULU HI
96813-2499
US

V. Phone/Fax

Practice location:
  • Phone: 808-691-5860
  • Fax: 808-691-4614
Mailing address:
  • Phone: 808-691-5860
  • Fax: 808-691-4614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH-4198
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: