Provider Demographics
NPI:1144355710
Name:MAR, DEXTER DEAN (RPH)
Entity type:Individual
Prefix:DR
First Name:DEXTER
Middle Name:DEAN
Last Name:MAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 OCEAN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3605
Mailing Address - Country:US
Mailing Address - Phone:808-735-0489
Mailing Address - Fax:
Practice Address - Street 1:2969 MAPUNAPUNA PL
Practice Address - Street 2:KAISER PERMANENTE
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-2000
Practice Address - Country:US
Practice Address - Phone:808-432-8888
Practice Address - Fax:808-677-1960
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-462183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist