Healthcare Provider Details
I. General information
NPI: 1780660191
Provider Name (Legal Business Name): PHARMACY PARTNERS HAWAII LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2005
Last Update Date: 03/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3375 KOAPAKA STREET SUITE F251
HONOLULU HI
96819-1898
US
IV. Provider business mailing address
3375 KOAPAKA STREET SUITE G320
HONOLULU HI
96819-1898
US
V. Phone/Fax
- Phone: 808-840-5690
- Fax: 808-485-8927
- Phone: 808-836-0223
- Fax: 808-836-0537
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | PHY658 |
| License Number State | HI |
VIII. Authorized Official
Name:
BYRON
N.
YOSHINO
Title or Position: MANAGER
Credential: PHARMD
Phone: 808-840-5656