| NPI | 1245231851 |
|---|---|
| Doing Business As | QUEEN'S POB II PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GAVIN SANJUME Director 808-691-4342 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: HI PHY-465) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: HI PHY-465) |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: HI PHY-465) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: HI PHY-465) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: HI PHY-465) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: HI PHY-465) | |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2019-07-26 |