| NPI | 1003984246 |
|---|---|
| Doing Business As | QUEENS POB III PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GAVIN SANJUME Dir, Retail & Contrct Phcy 808-691-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: HI PHY679) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-07-20 |