Healthcare Provider Details

I. General information

NPI: 1649310509
Provider Name (Legal Business Name): LAWRENCE WOODSON BUCHNER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56-565 KAMEHAMEHA HWY
KAHUKU HI
96731-2202
US

IV. Provider business mailing address

46-063 EMEPELA PL APT S103
KANEOHE HI
96744-3968
US

V. Phone/Fax

Practice location:
  • Phone: 808-432-3923
  • Fax: 808-432-3951
Mailing address:
  • Phone: 808-235-4350
  • Fax: 808-432-3951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number00463
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: