Healthcare Provider Details

I. General information

NPI: 1720033236
Provider Name (Legal Business Name): L KRENK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 HANA HWY STE B
KAHULUI HI
96732-2105
US

IV. Provider business mailing address

22 HANA HWY STE B
KAHULUI HI
96732-2105
US

V. Phone/Fax

Practice location:
  • Phone: 808-877-6222
  • Fax: 808-877-0504
Mailing address:
  • Phone: 808-877-6222
  • Fax: 808-877-0504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number476
License Number StateHI

VIII. Authorized Official

Name: MR. LESLIE J. KRENK
Title or Position: PRESIDENT
Credential: RPH
Phone: 808-877-6222