Provider Demographics
NPI:1619792595
Name:CABLAY, MAYSYVELLE SISTOZA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:MAYSYVELLE
Middle Name:SISTOZA
Last Name:CABLAY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:MAYSYVELLE
Other - Middle Name:
Other - Last Name:SISTOZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:94-295 KAHUAPILI ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3521
Mailing Address - Country:US
Mailing Address - Phone:808-398-0928
Mailing Address - Fax:
Practice Address - Street 1:1620 N SCHOOL ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1844
Practice Address - Country:US
Practice Address - Phone:808-832-8265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-5007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist