Healthcare Provider Details

I. General information

NPI: 1245214865
Provider Name (Legal Business Name): ALOHA MEDICAL SUPPLY OF THE PACIFIC INC.,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6650 HAWAII KAI DR STE 250A
HONOLULU HI
96825-1100
US

IV. Provider business mailing address

6650 HAWAII KAI DR STE 250A
HONOLULU HI
96825-1100
US

V. Phone/Fax

Practice location:
  • Phone: 808-394-6960
  • Fax: 808-394-6962
Mailing address:
  • Phone: 808-394-6960
  • Fax: 808-394-6962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. VIVIAN V MARTIROSIAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 808-537-4204