Provider Demographics
NPI:1821233800
Name:FURUTANI, BRETT CHRIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:CHRIS
Last Name:FURUTANI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 HALEOKEA ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-5947
Mailing Address - Country:US
Mailing Address - Phone:808-959-6456
Mailing Address - Fax:
Practice Address - Street 1:555 KILAUEA AVE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3011
Practice Address - Country:US
Practice Address - Phone:808-935-9075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist