Provider Demographics
NPI:1184736803
Name:ADRIANCE, DOUGLAS B JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:B
Last Name:ADRIANCE
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DOUGLAS
Other - Middle Name:B
Other - Last Name:ADRIANCE-MEJIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM,D
Mailing Address - Street 1:1115 AINAKO AVE
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-1505
Mailing Address - Country:US
Mailing Address - Phone:808-345-1533
Mailing Address - Fax:808-969-7686
Practice Address - Street 1:34 RAINBOW DR
Practice Address - Street 2:UNIVERSITY OF HAWAII HILO COLLEGE OF PHARMACY
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-934-4086
Practice Address - Fax:808-969-7686
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5097051-1701183500000X
HIPH-2449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist