Provider Demographics
NPI:1679830145
Name:BRUNE, ERNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERNA
Middle Name:
Last Name:BRUNE
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 1:4414 PUNEE RD
Mailing Address - Street 2:
Mailing Address - City:KOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96756-9636
Mailing Address - Country:US
Mailing Address - Phone:808-634-9499
Mailing Address - Fax:
Practice Address - Street 1:4454 NUHOU ST STE 301
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-8019
Practice Address - Country:US
Practice Address - Phone:808-246-3680
Practice Address - Fax:808-246-0143
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH3802183500000X
WAIR60185968183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist