IndividualActive
Jarred Prudencio, PHARM.D.
NPI 1649721994 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Hilo, HI
Provider details
- NPI number
- 1649721994
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PH-4021 (HI)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
45 Mohouli St Ste 101
Hilo, HI 96720-7210
Phone: (808) 932-4215
Approximate (ZIP-level) locationGet directions
Mailing address
200 W Kawili St
Hilo, HI 96720-4075
Registry dates
- Enumerated
- 2016-10-21
- Last updated
- 2016-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.