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Dominique Valencia Bolosan — NPI 1144587627, Makawao, HI | NPI Central

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NPI 1144587627

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Dominique Valencia Bolosan

NPI 1144587627 · Pharmacist · Makawao, HI

Provider details

NPI number: 1144587627
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Female
Sole proprietor: No
License: IR60240637 (WA)

Specialties & taxonomies

PharmacistPrimary183500000XLicense PH-3884 (HI)
Pharmacy Service Providers
Pharmacist183500000XLicense IR60240637 (WA)
Pharmacy Service Providers

Practice location

55 Kiopaa Pl

Makawao, HI 96768-8282

Phone: (808) 573-9300

Fax: (808) 573-9309

Approximate (ZIP-level) locationGet directions

More HI providers

Mailing address

142 Ikea Pl

Makawao, HI 96768-8716

Registry dates

Enumerated: 2012-04-20
Last updated: 2020-02-18
Certified: 2020-02-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.