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NPI Code Detail

MEDICARE: ANDREA K. MACLEOD PHARM.D.

MEDICARE: ANDREA K. MACLEOD PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy PharmacistPH-1817HI
21835P1200XPharmacotherapy PharmacistRPH 51388CA

General Provider Information

NPI Number : 1184626954
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA K. MACLEOD PHARM.D.
Provider Business Mailing Address
First Line : 501 ALAKAWA ST STE 101
Second Line : PHARMACY ADMIN
City : HONOLULU
State : HI
Zip : 96817-5700
Country : US
Telephone Number : 808-432-7979
Fax Number :
Provider Business Practice Location Address
First Line : 3288 MOANALUA RD
Second Line : PHARMACY
City : HONOLULU
State : HI
Zip : 96819-1469
Country : US
Telephone Number : 808-432-7979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 01/15/2025

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