Provider Demographics
NPI:1316112659
Name:CHOW, RICHARD B (RPH)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:B
Last Name:CHOW
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 N. KALAHEO AVE
Mailing Address - Street 2:C-106 PALI PALMS PLAZA
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-1871
Mailing Address - Country:US
Mailing Address - Phone:800-225-5967
Mailing Address - Fax:909-799-4364
Practice Address - Street 1:970 N KALAHEO AVE
Practice Address - Street 2:C106 PALI PALMS PLAZA
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-1871
Practice Address - Country:US
Practice Address - Phone:808-254-5841
Practice Address - Fax:808-254-6153
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH1943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist