Provider Demographics
NPI:1164575114
Name:YIM, ANNE L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:L
Last Name:YIM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 ALEWA DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1506
Mailing Address - Country:US
Mailing Address - Phone:808-595-7012
Mailing Address - Fax:
Practice Address - Street 1:1031 ALEWA DR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1506
Practice Address - Country:US
Practice Address - Phone:808-595-7012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRPH782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIRPH0782Medicare ID - Type UnspecifiedPHARMACIST