NPI 1003453705 · live from the CMS NPI Registry
Andrew Agustin, PharmD
Pharmacist in Pearl City, HI. National Provider Identifier 1003453705, active.
NPI record
| NPI | 1003453705 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 1131 Kuala St, Pearl City, HI 96782 |
| Practice phone | 808-454-8792 |
| Mailing address | 91-2012 Laakona Pl, Ewa Beach, HI 96706 |
| Enumerated | December 2, 2019 |
| Last updated | September 22, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | PH-4504 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.