Provider Demographics
NPI:1962595470
Name:KIMURA, GERI KUMANO (PHARM D)
Entity type:Individual
Prefix:
First Name:GERI
Middle Name:KUMANO
Last Name:KIMURA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7508 MUOLEA PLACE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825
Mailing Address - Country:US
Mailing Address - Phone:808-394-8206
Mailing Address - Fax:808-433-0327
Practice Address - Street 1:459 PATTERSON ROAD
Practice Address - Street 2:MATSUNAGA VAMC PHARMACY (119)
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1522
Practice Address - Country:US
Practice Address - Phone:808-433-7666
Practice Address - Fax:808-433-0327
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 44682183500000X
HIPH-1404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist