Basic Information
| Provider Information | |||||||||
| NPI: | 1689077687 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | INOUYE | ||||||||
| FirstName: | REID | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | BUILDING 676 ROOM 104 JARRETT WHITE RD PHARMACY SERVICE | ||||||||
| Address2: | US ARMY SCHOFIELD BARRACKS HEALTH CLINIC | ||||||||
| City: | SCHOFIELD BARRACKS | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968575460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8084338423 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | BUILDING 676 ROOM 104 JARRETT WHITE RD PHARMACY SERVICE | ||||||||
| Address2: | US ARMY SCHOFIELD BARRACKS HEALTH CLINIC | ||||||||
| City: | SCHOFIELD BARRACKS | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968575460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8084338423 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2014 | ||||||||
| LastUpdateDate: | 06/17/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | PH-3213 | HI | N | Pharmacy Service Providers | Pharmacist | 1835P0018X | PH-3213 | HI | Y | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
No ID Information.