Provider Demographics
NPI:1235414285
Name:CRUZ, ALFREDO HECTOR JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALFREDO
Middle Name:HECTOR
Last Name:CRUZ
Suffix:JR
Gender:M
Credentials:RPH
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Mailing Address - Street 1:ONE WATERFRONT PLAZA
Mailing Address - Street 2:500 ALA MOANA BLVD BLDG 1 STE 1A
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4920
Mailing Address - Country:US
Mailing Address - Phone:808-254-2727
Mailing Address - Fax:808-254-4445
Practice Address - Street 1:1 WATERFRONT PLZ
Practice Address - Street 2:500 ALA MOANA BLVD BLDG 1 STE 1A
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4920
Practice Address - Country:US
Practice Address - Phone:808-254-2727
Practice Address - Fax:808-254-4445
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIPH1517183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist