Provider Demographics
NPI:1558963694
Name:SONODA, ASHLEY KAMEHAILANI (PHARM D)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KAMEHAILANI
Last Name:SONODA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-3633 KAULUAKOKO UNIT 5104
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5868
Mailing Address - Country:US
Mailing Address - Phone:808-219-3936
Mailing Address - Fax:
Practice Address - Street 1:41-1610 KALANIANAOLE HWY
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1190
Practice Address - Country:US
Practice Address - Phone:808-259-8488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-4497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist