Provider Demographics
NPI:1437443199
Name:TOMITA, MARIA GRETEL GLICELINA (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARIA GRETEL
Middle Name:GLICELINA
Last Name:TOMITA
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 1:4380 LAWEHANA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-3137
Mailing Address - Country:US
Mailing Address - Phone:808-441-3119
Mailing Address - Fax:808-441-3119
Practice Address - Street 1:4380 LAWEHANA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-3137
Practice Address - Country:US
Practice Address - Phone:808-441-3119
Practice Address - Fax:808-441-3119
Is Sole Proprietor?:No
Enumeration Date:2011-05-30
Last Update Date:2011-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist