Healthcare Provider Details
I. General information
NPI: 1699768614
Provider Name (Legal Business Name): VONNI TOYAMA PHARM.D., CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 08/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2450 WAOLANI AVE
HONOLULU HI
96817-1390
US
IV. Provider business mailing address
2450 WAOLANI AVE
HONOLULU HI
96817-1390
US
V. Phone/Fax
- Phone: 808-285-2004
- Fax: 808-595-3365
- Phone: 808-285-2004
- Fax: 808-595-3365
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | PH-1685 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: