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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JARRED B PRUDENCIO, PHARM.D.

Active

Pharmacist Clinician (PhC) · HILO, HI

Registration Details

NPI Number
1649721994
Provider Type
Individual
Gender
Male
NPI Issued
Oct 21, 2016 (9.5002268883987 yrs)
Last Updated
Oct 21, 2016
Licenses
PH-4021 (HI)
PH-4021 (HI)

Practice Information

Address
45 MOHOULI ST STE 101
HILO, HI, 967207210
Browse HI providers · Browse ZIP 96720
Phone
8089324215
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Ambulatory Care Pharmacist

Other Pharmacist Clinician (PhC) Providers in HILO, HI

Name Credential NPI
DR. MOK T CHONG PHARM.D 1790010593
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.