NPI | 1578794905 |
---|---|
Entity Type | Organization |
Authorized Contact | TAD USHIJIMA President/Secretary 808-375-6520 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: HI PHY 773) |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2009-08-03 |
Last Update Date | 2009-10-06 |