| NPI | 1962270256 |
|---|---|
| Doing Business As | 123 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CECILIA WONG Pharmacist In Charge 808-389-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-04-17 |