Provider Demographics
NPI:1043798945
Name:BROWN, ELISSA-MARIE ELIKAPEKA KAAHANUI (PHARMD)
Entity Type:Individual
Prefix:
First Name:ELISSA-MARIE
Middle Name:ELIKAPEKA KAAHANUI
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ELISSA-MARIE
Other - Middle Name:ELIKAPEKA KAAHANUI
Other - Last Name:KAHAHANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-0388
Mailing Address - Country:US
Mailing Address - Phone:808-885-0033
Mailing Address - Fax:808-885-0397
Practice Address - Street 1:65-1158 MAMALAHOA HWY
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8442
Practice Address - Country:US
Practice Address - Phone:808-885-0033
Practice Address - Fax:808-885-0397
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-3292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist