Provider Demographics
NPI:1699768614
Name:TOYAMA, VONNI (PHARMD, CGP)
Entity type:Individual
Prefix:
First Name:VONNI
Middle Name:
Last Name:TOYAMA
Suffix:
Gender:F
Credentials:PHARMD, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 WAOLANI AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1390
Mailing Address - Country:US
Mailing Address - Phone:808-285-2004
Mailing Address - Fax:808-595-3365
Practice Address - Street 1:2450 WAOLANI AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1390
Practice Address - Country:US
Practice Address - Phone:808-285-2004
Practice Address - Fax:808-595-3365
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-1685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist