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NPI Code Detail

MEDICARE: ALYSSA FURUKAWA

MEDICARE:   ALYSSA  FURUKAWA
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
1183500000XPharmacistPH00057407WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PH-2757OTHERHIPHARMACIST LICENSE

General Provider Information

NPI Number : 1225012404
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA FURUKAWA
Provider Business Mailing Address
First Line : 333 KEAHOLE ST BLDG A
Second Line :
City : HONOLULU
State : HI
Zip : 96825-3428
Country : US
Telephone Number : 808-394-3318
Fax Number : 808-394-3327
Provider Business Practice Location Address
First Line : 333 KEAHOLE ST BLDG A
Second Line :
City : HONOLULU
State : HI
Zip : 96825-3428
Country : US
Telephone Number : 808-394-3318
Fax Number : 808-394-3327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 03/29/2012

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Directions to “ ALYSSA FURUKAWA ” Practice Location

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