Provider Demographics
NPI:1528374345
Name:KAWABE, BRYCE YOSHIAKI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRYCE
Middle Name:YOSHIAKI
Last Name:KAWABE
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 1:94-1231 KA UKA BLVD
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-4495
Mailing Address - Country:US
Mailing Address - Phone:808-678-6102
Mailing Address - Fax:
Practice Address - Street 1:94-1231 KA UKA BLVD
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-4495
Practice Address - Country:US
Practice Address - Phone:808-678-6102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2960183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist