Provider Demographics
NPI:1437860095
Name:ZANE, KRISTI ANN YASUKO MORIBE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISTI ANN
Middle Name:YASUKO MORIBE
Last Name:ZANE
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 1:1234 S BERETANIA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1522
Mailing Address - Country:US
Mailing Address - Phone:808-535-1785
Mailing Address - Fax:
Practice Address - Street 1:1234 S BERETANIA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1522
Practice Address - Country:US
Practice Address - Phone:808-535-1785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-4867-0183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIPH-4867-0OtherPHARMACIST LICENSE