Individual provider · Type 1 NPI

Gregory Formanack, R.PH.

Pharmacist · Kailua Kona, HI

NPI number 1063830644 Active

Practice location

74-5465 Kamakaeha Ave
Kailua Kona, HI 96740-1648

Call (808) 326-1707 Map

Fax (808) 334-1173

Mailing address

77-104 Kalaniuka St
Holualoa, HI 96725-9728

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X1301 (HI)
Pharmacist 183500000X3046 (MT)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1063830644

Gregory Formanack, R.PH.'s National Provider Identifier is 1063830644, issued on Apr 1, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kailua Kona, HI. The record was last updated on Apr 1, 2014.