Provider Demographics
NPI:1568718302
Name:ANTONIO VAI
Entity Type:Organization
Organization Name:ANTONIO VAI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY TECHNICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:S
Authorized Official - Last Name:VAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-544-8390
Mailing Address - Street 1:92-739 AOLOKO PL
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1169
Mailing Address - Country:US
Mailing Address - Phone:951-544-8390
Mailing Address - Fax:
Practice Address - Street 1:92-739 AOLOKO PL
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1169
Practice Address - Country:US
Practice Address - Phone:951-544-8390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy