Provider Demographics
NPI:1528391778
Name:YOSHIDA, JUSTIN KIYOSHI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:KIYOSHI
Last Name:YOSHIDA
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 1:1423 ALA AOLANI ST.
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819
Mailing Address - Country:US
Mailing Address - Phone:808-342-3668
Mailing Address - Fax:
Practice Address - Street 1:US ARMY HEALTH CLINIC - SCHOFIELD BARRACKS
Practice Address - Street 2:PHARMACY SERVICE BLDG 676
Practice Address - City:SCHOFIELD BARRACKS
Practice Address - State:HI
Practice Address - Zip Code:96857-5460
Practice Address - Country:US
Practice Address - Phone:808-433-8421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI29431835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN