Provider Demographics
NPI:1346670098
Name:NARCISO, DANITA DEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DANITA
Middle Name:DEE
Last Name:NARCISO
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 1:7074 KAHOLALELE PL
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-9366
Mailing Address - Country:US
Mailing Address - Phone:808-333-6697
Mailing Address - Fax:
Practice Address - Street 1:7074 KAHOLALELE PL
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-9366
Practice Address - Country:US
Practice Address - Phone:808-333-6697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-16
Last Update Date:2013-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-3341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist