| NPI | 1326379108 |
|---|---|
| Doing Business As | EASY CLINIC LAB & RX SHOP |
| Entity Type | Organization |
| Authorized Contact | SHAWN TAVARES Parmacist In Charge 808-873-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |