Provider Demographics
NPI:1336239375
Name:SZABO, JOHN WILLIAM
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:WILLIAM
Last Name:SZABO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1409 ONIKINIKI PL
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-2851
Mailing Address - Country:US
Mailing Address - Phone:808-486-2050
Mailing Address - Fax:808-484-1517
Practice Address - Street 1:459 PATTERSON RD
Practice Address - Street 2:MATSUNAGA VAMC 2ND FL
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:99681-1522
Practice Address - Country:US
Practice Address - Phone:808-433-0790
Practice Address - Fax:808-433-7731
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA148870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist