| NPI | 1669514386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY NISHINA Pharmacist In Charge 808-432-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy Managed Care Organization Pharmacy (Licence: HI PHY-138) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2017-02-28 |