NPI | 1699835827 |
---|---|
Entity Type | Organization |
Authorized Contact | DARYLEANN HO Managing Director 808-833-3414 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: HI PHY681) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
3336C0002X Pharmacy, Clinic Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2007-07-26 |