Provider Demographics
NPI:1336746478
Name:PASCUAL, ROSS THOMAS FUJIMORI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:THOMAS FUJIMORI
Last Name:PASCUAL
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 1:1201 WILDER AVE APT 2904
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-3151
Mailing Address - Country:US
Mailing Address - Phone:808-352-0387
Mailing Address - Fax:
Practice Address - Street 1:750 KEEAUMOKU STREET
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:808-941-6719
Practice Address - Fax:808-941-6729
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-3230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist