Provider Demographics
NPI:1144878299
Name:NAKAMURA, RACHAEL (RPH)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:
Last Name:NAKAMURA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1005 MOANALUA RD SPC 400
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4775
Mailing Address - Country:US
Mailing Address - Phone:808-488-0958
Mailing Address - Fax:
Practice Address - Street 1:98-1005 MOANALUA RD SPC 400
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4775
Practice Address - Country:US
Practice Address - Phone:808-488-0958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-02
Last Update Date:2019-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3409183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist