| NPI | 1780996579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERT SHUSTER Pharmacist In Charge 808-879-9924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: HI PHY-786) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: HI PHY786) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: HI PHY786) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2015-09-10 |