Provider Demographics
NPI:1861867558
Name:LEHANO, CORY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CORY
Middle Name:
Last Name:LEHANO
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 1:700 WAIALE RD
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2469
Mailing Address - Country:US
Mailing Address - Phone:808-872-9742
Mailing Address - Fax:
Practice Address - Street 1:95 MAHALANI ST RM 10
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2521
Practice Address - Country:US
Practice Address - Phone:808-446-3348
Practice Address - Fax:808-451-2516
Is Sole Proprietor?:No
Enumeration Date:2015-12-07
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-3930183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist