Provider Demographics
NPI:1467550558
Name:KANNO, LORIANN M
Entity Type:Individual
Prefix:
First Name:LORIANN
Middle Name:M
Last Name:KANNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LORIANN
Other - Middle Name:M
Other - Last Name:HARIOKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:459 PATTERSON RD
Mailing Address - Street 2:119 - PHARMACY
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1522
Mailing Address - Country:US
Mailing Address - Phone:808-433-7750
Mailing Address - Fax:808-433-7731
Practice Address - Street 1:459 PATTERSON RD
Practice Address - Street 2:119 - PHARMACY
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1522
Practice Address - Country:US
Practice Address - Phone:808-433-7750
Practice Address - Fax:808-433-7731
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist