Provider Demographics
NPI:1053459727
Name:CASTRO, JASON PAUL JR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:PAUL
Last Name:CASTRO
Suffix:JR
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 ANAPALAU ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-2251
Mailing Address - Country:US
Mailing Address - Phone:808-372-0765
Mailing Address - Fax:
Practice Address - Street 1:270 ANAPALAU ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-2251
Practice Address - Country:US
Practice Address - Phone:808-372-0765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2540183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist