| NPI | 1386677953 |
|---|---|
| Doing Business As | IPC PHARMACY KAILUA |
| Entity Type | Organization |
| Authorized Contact | PEBBLES PANGRAZIO Contract Administrator 877-975-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: HI PHY576) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |