Provider Demographics
NPI:1255323085
Name:LITTLETON, LATISHA TAMARA (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:LATISHA
Middle Name:TAMARA
Last Name:LITTLETON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 RENO RD APT C
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1543
Mailing Address - Country:US
Mailing Address - Phone:808-433-6005
Mailing Address - Fax:808-433-6255
Practice Address - Street 1:1 JARRETT RD
Practice Address - Street 2:TRIPLER ARMY MEDICAL CENTER
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96859-0000
Practice Address - Country:US
Practice Address - Phone:808-433-6005
Practice Address - Fax:808-433-6255
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH021420183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist