NPI | 1154089092 |
---|---|
Doing Business As | MOANA MANAGED CARE PHARMACY |
Entity Type | Organization |
Authorized Contact | SEUNG TACK KIM President 808-497-8887 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Enumeration Date | 2021-12-07 |
Last Update Date | 2021-12-07 |