Provider Demographics
NPI:1669523858
Name:JOW, JEANI AKIKO TSUKAMOTO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JEANI
Middle Name:AKIKO TSUKAMOTO
Last Name:JOW
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 1:1682 HOOHEKE ST
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2201
Mailing Address - Country:US
Mailing Address - Phone:808-455-4655
Mailing Address - Fax:
Practice Address - Street 1:95-660 LANIKUHANA AVE
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-2900
Practice Address - Country:US
Practice Address - Phone:808-432-4259
Practice Address - Fax:808-432-4242
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-2045183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist