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General NPI Number Information
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NPI Number | 1053454959
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Entity Type | Organization
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Legal Business Name | DON QUIJOTE (USA) CO., LTD.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 345 HAHANI ST
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City | KAILUA
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State | HI
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Zip | 96734-2802
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Country | US
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Telephone | 808-266-4434
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Fax | 808-266-4450
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Provider Business Mailing Address
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Address Line | 801 KAHEKA ST
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City | HONOLULU
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State | HI
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Zip | 96814-3725
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Country | US
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Telephone | 808-973-6600
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Fax | 808-973-4844
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. HERBERT K GUSHIKUMA
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Credential |
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Telephone | 808-973-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY-291
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License Number State | HI
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