Provider Demographics
NPI:1598889966
Name:HERNANDEZ, BELMA CORTES (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:BELMA
Middle Name:CORTES
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1027 APUU ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-3911
Mailing Address - Country:US
Mailing Address - Phone:808-681-0648
Mailing Address - Fax:
Practice Address - Street 1:66-150 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:HALEIWA
Practice Address - State:HI
Practice Address - Zip Code:96712-1419
Practice Address - Country:US
Practice Address - Phone:808-637-9393
Practice Address - Fax:808-637-8875
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-1403183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist