Provider Demographics
NPI:1932555893
Name:MCCARTIN, MIN-CHI
Entity type:Individual
Prefix:
First Name:MIN-CHI
Middle Name:
Last Name:MCCARTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1189 WAIMANU ST
Mailing Address - Street 2:APT 2409
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4248
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1189 WAIMANU ST
Practice Address - Street 2:APT 2409
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4248
Practice Address - Country:US
Practice Address - Phone:206-818-6918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3761183500000X
WA00069404183500000X
CA74333183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist