NPI 1124693296

Matthew Tanaid, RPH

Practitioner Pharmacist Ewa Beach, HI

Practice location

Address: 91-1081 Keaunui Dr, Ewa Beach, HI 96706-6351
Phone: (808) 683-1166

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH-4132 (HI)

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Registry record

NPI: 1124693296
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2021
Record last updated: 21 May 2021

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.