| NPI | 1013305457 |
|---|---|
| Doing Business As | MEDIPHARM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SCOTT DAHLEM Office Manager 808-523-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: HI PHY870) | |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2020-02-12 |