Provider Demographics
NPI:1114294303
Name:MUROBAYASHI, CRAIG J (RPH)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:J
Last Name:MUROBAYASHI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-716 WAILEIA PL
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2118
Mailing Address - Country:US
Mailing Address - Phone:808-623-0606
Mailing Address - Fax:
Practice Address - Street 1:94-716 WAILEIA PL
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-2118
Practice Address - Country:US
Practice Address - Phone:808-623-0606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPHY696183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist