NPI 1003464371

Jackwayne Fernandez, PHARMD

Practitioner Pharmacist Honolulu, HI

Practice location

Address: 1330 Pali Hwy, Honolulu, HI 96813-2230
Phone: (808) 536-5542

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH-3523 (HI)

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Registry record

NPI: 1003464371
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2019
Record last updated: 29 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.