Provider Demographics
NPI:1659693513
Name:TRIPP, CAROL SAYAKO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:SAYAKO
Last Name:TRIPP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N NIMITZ HWY
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5030
Mailing Address - Country:US
Mailing Address - Phone:808-524-1568
Mailing Address - Fax:808-524-1657
Practice Address - Street 1:500 N NIMITZ HWY
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5030
Practice Address - Country:US
Practice Address - Phone:808-524-1568
Practice Address - Fax:808-524-1657
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH2065183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist