Janine Rose Chang Balantac, RPH

Individual provider Active NPI Pharmacist · Honolulu, HI

NPI 1144878281 · NPPES record last updated Sep 2, 2019

Key facts

NPI
1144878281
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
1831 (HI)
Practice address
1620 N School St
Honolulu, HI 96817-1844
Phone
(808) 841-0724
Fax
(808) 842-0726
NPI assigned
Sep 2, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1831HIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1831 HI Yes

Addresses

Primary practice location

1620 N School St
Honolulu, HI 96817-1844

Mailing address

1620 N School St
Honolulu, HI 96817-1844
Phone (808) 841-0724

Other providers in Honolulu, HI

All providers in Honolulu, HI · Pharmacist in Hawaii

Sources for this page

Verify at the official NPI Registry.