Basic Information
| Provider Information | |||||||||
| NPI: | 1902856636 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHINN | ||||||||
| FirstName: | LAWRENCE | ||||||||
| MiddleName: | WUNG KEE | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 459 PATTERSON RD # 119 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968191522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8084330728 | ||||||||
| FaxNumber: | 8084337731 | ||||||||
| Practice Location | |||||||||
| Address1: | 459 PATTERSON RD # 119 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968191522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8084330728 | ||||||||
| FaxNumber: | 8084337731 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2006 | ||||||||
| LastUpdateDate: | 02/20/2013 | ||||||||
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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 | 1835P0018X | 14433 | NV | Y | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
No ID Information.