NPI 1194224139

Nicole Tabandera

Practitioner Pharmacist Kamuela, HI

Practice location

Address: 65-1271 Kawaihae Rd, Kamuela, HI 96743-7369
Phone: (808) 885-4418
Mailing address: 2391 Piihonua Rd, Hilo, HI 96720-1242

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 3716 (HI)

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Registry record

NPI: 1194224139
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2018
Record last updated: 5 Feb 2018

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.