MEDICARE: BRITTANY CASINAS LUNA PHARMD

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
1	183500000X	Pharmacist	PH-4690	HI

General Provider Information

NPI Number	:	1548931819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY CASINAS LUNA PHARMD

Provider Business Mailing Address
First Line	:	3600 AOLELE ST UNIT 29432
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96820-4018
Country	:	US
Telephone Number	:	808-347-4915
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 KUALA ST
Second Line	:
City	:	PEARL CITY
State	:	HI
Zip	:	96782-2959
Country	:	US
Telephone Number	:	808-456-5302
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2021
Last Update Date	:	09/25/2021

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