Provider Demographics
NPI:1184816563
Name:ORDONEZ, BRAINARD WINSTON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRAINARD
Middle Name:WINSTON
Last Name:ORDONEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 JARRETT WHITE RD
Mailing Address - Street 2:PHARMACY SERVICE- INPATIENT PHARMACY
Mailing Address - City:TRIPLER AMC
Mailing Address - State:HI
Mailing Address - Zip Code:96859-5001
Mailing Address - Country:US
Mailing Address - Phone:808-433-6337
Mailing Address - Fax:808-433-6371
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:PHARMACY SERVICE- INPATIENT PHARMACY
Practice Address - City:TRIPLER AMC
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-6337
Practice Address - Fax:808-433-6371
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH025098183500000X
HIPH-2147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist