Healthcare Provider Details

I. General information

NPI: 1295069284
Provider Name (Legal Business Name): RENEE KWOCK PHARMD, BCOP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2009
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

642 ULUKAHIKI ST STE 300
KAILUA HI
96734-4439
US

IV. Provider business mailing address

642 ULUKAHIKI ST STE 300
KAILUA HI
96734-4439
US

V. Phone/Fax

Practice location:
  • Phone: 808-263-5024
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number6658
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-70097
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPH-3273
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH-3273
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: