Provider Demographics
NPI:1356110027
Name:OYAS, MINNEH WARUGURU (PHARMD)
Entity type:Individual
Prefix:
First Name:MINNEH
Middle Name:WARUGURU
Last Name:OYAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MINNEH
Other - Middle Name:WARUGURU
Other - Last Name:OYAS-HICKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:HAKALAU
Mailing Address - State:HI
Mailing Address - Zip Code:96710-0295
Mailing Address - Country:US
Mailing Address - Phone:808-935-9075
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:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-4994183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist