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General NPI Number Information
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NPI Number | 1215571005
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Entity Type | Organization
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Legal Business Name | FAMILY PHARMACY INC
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 1451 S KING ST STE 203A
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City | HONOLULU
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State | HI
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Zip | 96814-2568
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Country | US
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Telephone | 808-379-2347
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Fax | 808-379-2357
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Provider Business Mailing Address
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Address Line | 1451 S KING ST STE 203A
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City | HONOLULU
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State | HI
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Zip | 96814-2568
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Country | US
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Telephone | 808-379-2347
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Fax | 808-379-2357
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Authorized Official
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Title or Position | OWNER
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Name | JIN HEE KIM
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Credential | PHARM D
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Telephone | 808-228-1344
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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 |
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License Number State |
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