NPI | 1477806214 |
---|---|
Doing Business As | HAWAII PACIFIC DEEG |
Entity Type | Organization |
Authorized Contact | MICHAEL B. RUSSO Owner 808-294-3332 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2012-10-17 |
Last Update Date | 2015-10-26 |