Provider Demographics
NPI:1376695338
Name:NAKANO, LARA H (PHARM D)
Entity Type:Individual
Prefix:
First Name:LARA
Middle Name:H
Last Name:NAKANO
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 1:185 NOELANI LOOP
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-5396
Mailing Address - Country:US
Mailing Address - Phone:808-959-8700
Mailing Address - Fax:808-959-7559
Practice Address - Street 1:50 E PUAINAKO ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-5242
Practice Address - Country:US
Practice Address - Phone:808-959-8700
Practice Address - Fax:808-959-7559
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist