Provider Demographics
NPI:1538590146
Name:SARIBAY, NORMA (RPH)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:SARIBAY
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:PO BOX 880935
Mailing Address - Street 2:
Mailing Address - City:PUKALANI
Mailing Address - State:HI
Mailing Address - Zip Code:96788-0935
Mailing Address - Country:US
Mailing Address - Phone:808-280-0474
Mailing Address - Fax:
Practice Address - Street 1:424 DAIRY RD
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2311
Practice Address - Country:US
Practice Address - Phone:808-871-5677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1432183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist