Provider Demographics
NPI:1649451949
Name:GILO-CRUZ, TWYLLYNE TAMAYO (PHARMD)
Entity type:Individual
Prefix:
First Name:TWYLLYNE
Middle Name:TAMAYO
Last Name:GILO-CRUZ
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 1:3638 ALIAMANU ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-2830
Mailing Address - Country:US
Mailing Address - Phone:808-630-7133
Mailing Address - Fax:
Practice Address - Street 1:98-1264 KAAHUMANU ST
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3252
Practice Address - Country:US
Practice Address - Phone:808-483-3078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2631183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist