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General NPI Number Information
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NPI Number | 1467361832
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Entity Type | Organization
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Legal Business Name | LUCKY SAILS DRUG, INC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 677 ALA MOANA BLVD STE 320
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City | HONOLULU
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State | HI
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Zip | 96813-5412
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Country | US
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Telephone | 808-707-4852
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Fax | 808-879-4545
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Provider Business Mailing Address
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Address Line | 677 ALA MOANA BLVD STE 320
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City | HONOLULU
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State | HI
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Zip | 96813-5412
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Country | US
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Telephone | 808-707-4852
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Fax | 808-879-4545
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Authorized Official
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Title or Position | SECRETARY/PIC
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Name | BRIANA MARIE ANTON
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Credential | PHARMD
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Telephone | 808-879-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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