Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY FORMANACK, R.PH.
ActivePharmacist · KAILUA KONA, HI
Registration Details
- NPI Number
- 1063830644
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2014 (12.099723974238 yrs)
- Last Updated
- Apr 1, 2014
- Licenses
-
1301 (HI)3046 (MT)
Practice Information
- Address
-
74-5465 KAMAKAEHA AVEKAILUA KONA, HI, 967401648Browse HI providers · Browse ZIP 96740
- Phone
- 8083261707
- Fax
- 8083341173
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in KAILUA KONA, HI
| Name | Credential | NPI |
|---|---|---|
| WILLIAM MUMBERT | PHARM.D., R.PH. | 1275688251 |
| MRS. CAROLYN UYEDA | RPH | 1609921527 |
| KATHLEEN AMAZONA-SCHMIDT | PHARMD | 1851582118 |
| DR. BRIAN STAHL | — | 1407187081 |
| MISS LISA BRYANT | RPH | 1609197417 |
| DR. WALTER DOUGLAS DISNEY JR. | PHARM D | 1093015893 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.