Healthcare Provider Details

I. General information

NPI: 1982197927
Provider Name (Legal Business Name): KURTIS NAKAMURA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 06/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 S KING ST
HONOLULU HI
96826-5808
US

IV. Provider business mailing address

2470 S KING ST
HONOLULU HI
96826-5808
US

V. Phone/Fax

Practice location:
  • Phone: 808-947-2651
  • Fax: 808-942-4144
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH-2937
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: