Healthcare Provider Details

I. General information

NPI: 1467361832
Provider Name (Legal Business Name): LUCKY SAILS DRUG, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 ALA MOANA BLVD STE 320
HONOLULU HI
96813-5412
US

IV. Provider business mailing address

677 ALA MOANA BLVD STE 320
HONOLULU HI
96813-5412
US

V. Phone/Fax

Practice location:
  • Phone: 808-707-4852
  • Fax: 808-879-4545
Mailing address:
  • Phone: 808-707-4852
  • Fax: 808-879-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRIANA MARIE ANTON
Title or Position: SECRETARY/PIC
Credential: PHARMD
Phone: 808-879-0123