Provider Demographics
NPI:1144595141
Name:OSHIRO, DONALYN AKEMI MIMURO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DONALYN
Middle Name:AKEMI MIMURO
Last Name:OSHIRO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 ALAKAWA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5764
Mailing Address - Country:US
Mailing Address - Phone:808-526-6102
Mailing Address - Fax:808-526-6121
Practice Address - Street 1:525 ALAKAWA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5764
Practice Address - Country:US
Practice Address - Phone:808-526-6102
Practice Address - Fax:808-526-6121
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-1992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist