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General NPI Number Information
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NPI Number | 1023123692
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Entity Type | Organization
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Legal Business Name | WAIPAHU TOWN PHARMACY INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 94-307 FARRINGTON HWY #B-7B
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City | WAIPAHU
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State | HI
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Zip | 96797
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Country | US
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Telephone | 808-676-2230
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Fax | 808-678-2850
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Provider Business Mailing Address
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Address Line | 94-307 FARRINGTON HWY #B-7B
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City | WAIPAHU
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State | HI
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Zip | 96797
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Country | US
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Telephone | 808-676-2230
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Fax | 808-678-2850
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. CRAIG J MUROBAYASHI
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Credential | RPL
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Telephone | 808-676-2230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 606
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License Number State | HI
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