Healthcare Provider Details

I. General information

NPI: 1285931337
Provider Name (Legal Business Name): PHARMAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2011
Last Update Date: 07/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1188 BISHOP ST STE 1001
HONOLULU HI
96813-3304
US

IV. Provider business mailing address

3375 KOAPAKA ST STE G320
HONOLULU HI
96819-1898
US

V. Phone/Fax

Practice location:
  • Phone: 808-628-2830
  • Fax: 808-537-9479
Mailing address:
  • Phone: 808-836-0223
  • Fax: 808-836-0537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY-792
License Number StateHI

VIII. Authorized Official

Name: BYRON YOSHINO
Title or Position: MANAGER
Credential:
Phone: 808-840-5656