Most Relevant Information
Provider Data
| NPI Number: | 1003453705 |
| Provider Name: | ANDREW AGUSTIN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH-4504 |
Most Important Dates
| Enumeration Date: | 12/02/2019 |
| Last Updated: | 09/22/2020 |
Provider Practice Location
1131 KUALA ST
PEARL CITY
HI
967822886
Practice Location Phone/Fax
| Phone: | 8084548792 |
| Fax: |
Provider Mailing Location
91-2012 LAAKONA PL
EWA BEACH
HI
967064020
Provider Mailing Phone/Fax
| Phone: | 8083925666 |
| Fax: |