Provider Demographics
NPI:1518003391
Name:HALEMANO, MARIE ANN S (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARIE ANN
Middle Name:S
Last Name:HALEMANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:ANN
Other - Last Name:HALEMANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:91-232 MAKALEA ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5917
Mailing Address - Country:US
Mailing Address - Phone:808-685-3138
Mailing Address - Fax:
Practice Address - Street 1:87-2116 FARRINGTON HWY
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-3854
Practice Address - Country:US
Practice Address - Phone:808-432-3572
Practice Address - Fax:808-432-3575
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-1794183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist