Most Relevant Information
Provider Data
| NPI Number: | 1003531732 |
| Provider Name: | LIA FUKADA PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH-4838 |
Most Important Dates
| Enumeration Date: | 10/05/2022 |
| Last Updated: | 10/05/2022 |
Provider Practice Location
45-480 KANEOHE BAY DR BLDG E
KANEOHE
HI
967442054
Practice Location Phone/Fax
| Phone: | 8082355805 |
| Fax: |
Provider Mailing Location
45-480 KANEOHE BAY DR BLDG E
KANEOHE
HI
967442054
Provider Mailing Phone/Fax
| Phone: | 8082355805 |
| Fax: | 8082356029 |