Provider Demographics
NPI:1629359609
Name:NIAU, COSIMA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:COSIMA
Middle Name:
Last Name:NIAU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73-5600 MAIAU ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-2630
Mailing Address - Country:US
Mailing Address - Phone:404-401-0673
Mailing Address - Fax:
Practice Address - Street 1:73-5600 MAIAU ST
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-2630
Practice Address - Country:US
Practice Address - Phone:808-331-4808
Practice Address - Fax:808-331-4861
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022703183500000X
HIPH-3171183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist