Healthcare Provider Details

I. General information

NPI: 1922198845
Provider Name (Legal Business Name): WILLIAM J FARLANDER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 12/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 3845 KAUMUALII HWY
HANAPEPE HI
96716
US

IV. Provider business mailing address

PO BOX 526
HANAPEPE HI
96716-0526
US

V. Phone/Fax

Practice location:
  • Phone: 808-335-5342
  • Fax: 808-335-0043
Mailing address:
  • Phone: 808-335-5342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY302
License Number StateHI

VIII. Authorized Official

Name: BRIAN CARTER
Title or Position: PRESIDENT
Credential: BS
Phone: 808-335-5342