Healthcare Provider Details

I. General information

NPI: 1295443216
Provider Name (Legal Business Name): STRAUB CLINIC & HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3375 KOAPAKA ST STE H400
HONOLULU HI
96819-1869
US

IV. Provider business mailing address

1946 YOUNG ST STE 320
HONOLULU HI
96826-2150
US

V. Phone/Fax

Practice location:
  • Phone: 808-835-6200
  • Fax:
Mailing address:
  • Phone: 808-973-7320
  • Fax: 808-973-7325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

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