Most Relevant Information
Provider Data
| NPI Number: | 1003464371 |
| Provider Name: | JACKWAYNE FERNANDEZ PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH-3523 |
Most Important Dates
| Enumeration Date: | 08/29/2019 |
| Last Updated: | 08/29/2019 |
Provider Practice Location
1330 PALI HWY
HONOLULU
HI
968132230
Practice Location Phone/Fax
| Phone: | 8085365542 |
| Fax: |
Provider Mailing Location
1330 PALI HWY
HONOLULU
HI
968132230
Provider Mailing Phone/Fax
| Phone: | 8085365542 |
| Fax: | 8085360659 |