Provider Demographics
NPI:1376634865
Name:YOUNG, TERRENCE TUCK KWONG (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:TUCK KWONG
Last Name:YOUNG
Suffix:
Gender:M
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 1:459 PATTERSON RD
Mailing Address - Street 2:PACIFIC ISLAND HEALTHCARE SYSTEMS
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1522
Mailing Address - Country:US
Mailing Address - Phone:808-433-7666
Mailing Address - Fax:808-433-7731
Practice Address - Street 1:459 PATTERSON RD
Practice Address - Street 2:PACIFIC ISLAND HEALTHCARE SYSTEMS
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1522
Practice Address - Country:US
Practice Address - Phone:808-433-7666
Practice Address - Fax:808-433-7731
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist