Provider Demographics
NPI:1205495231
Name:KANESHIGE, LINDA KIMIKO (PHARM D)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:KIMIKO
Last Name:KANESHIGE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-435 AWIKI ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1857
Mailing Address - Country:US
Mailing Address - Phone:808-366-8633
Mailing Address - Fax:
Practice Address - Street 1:500 ALA MOANA BLVD
Practice Address - Street 2:STE 6-230
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-9681
Practice Address - Country:US
Practice Address - Phone:808-524-6115
Practice Address - Fax:808-528-1711
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52641183500000X
HI2902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist