Provider Demographics
NPI:1225305113
Name:OYAMA, JANE IN-KYUNG (RPH)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:IN-KYUNG
Last Name:OYAMA
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 1:99-1015 MANAKO ST
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3039
Mailing Address - Country:US
Mailing Address - Phone:951-897-2180
Mailing Address - Fax:
Practice Address - Street 1:99-1015 MANAKO ST
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3039
Practice Address - Country:US
Practice Address - Phone:951-897-2180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist