Provider Demographics
NPI:1376974162
Name:NARCISO, PAUL BRIAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:BRIAN
Last Name:NARCISO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4-1543 KUHIO HWY STE G
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-1897
Mailing Address - Country:US
Mailing Address - Phone:808-822-3600
Mailing Address - Fax:808-822-3663
Practice Address - Street 1:4-1543 KUHIO HWY STE G
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1897
Practice Address - Country:US
Practice Address - Phone:808-822-3600
Practice Address - Fax:808-822-3663
Is Sole Proprietor?:No
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH3240183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist