| NPI | 1053419085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MEJIA Pharmacy Operations Manager 808-832-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: HI PHY623) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-03-09 |