| NPI | 1326379520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN E TAVARES Director/Pharmacist 808-873-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.016789) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |