Provider Demographics
NPI:1962156695
Name:STRAUB, DIANE ALOHA LEI (PHARMD)
Entity type:Individual
Prefix:
First Name:DIANE ALOHA LEI
Middle Name:
Last Name:STRAUB
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:
Other - Last Name:STRAUB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:92-624 MALAHUNA LOOP
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:91-1081 KEAUNUI DR
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-6351
Practice Address - Country:US
Practice Address - Phone:808-683-1166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-4741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist