Healthcare Provider Details

I. General information

NPI: 1619238607
Provider Name (Legal Business Name): STRAUB CLINIC & HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 SOUTH KING ST, ROTUNDA SUITE 100
HONOLULU HI
96813
US

IV. Provider business mailing address

888 SOUTH KING STREET ROTUNDA SUITE 100
HONOLULU HI
96813-3097
US

V. Phone/Fax

Practice location:
  • Phone: 808-840-5640
  • Fax: 808-537-5155
Mailing address:
  • Phone: 808-840-5640
  • Fax: 808-537-5155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAVID Y OKABE
Title or Position: EVP & CFO
Credential:
Phone: 808-535-7202