Provider Demographics
NPI:1801430707
Name:NAGAKURA, ALAN (DVM)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:NAGAKURA
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:667 KANOELEHUA AVE
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4592
Mailing Address - Country:US
Mailing Address - Phone:808-961-0638
Mailing Address - Fax:
Practice Address - Street 1:667 KANOELEHUA AVE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4592
Practice Address - Country:US
Practice Address - Phone:808-961-0638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIVE-2993336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVE-299OtherRECORDS