NPI 1497801773

Peggy J Basinga, CPHT

Practitioner Pharmacy Technician Kailua Kona, HI

Practice location

Address: 78-6831 Alii Dr, Kailua Kona, HI 96740-2495
Phone: (808) 929-9296
Mailing address: PO Box 206, Captain Cook, HI 96704-0206

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 130109478952938 (HI)

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Registry record

NPI: 1497801773
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2007
Record last updated: 8 Jul 2007

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.