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General NPI Number Information
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NPI Number | 1487047213
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Entity Type | Organization
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Legal Business Name | 5 MINUTE PHARMACY ALA MOANA LLC
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 806
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City | HONOLULU
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State | HI
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Zip | 96814-4402
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Country | US
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Telephone | 808-797-2905
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Fax | 855-382-0230
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Provider Business Mailing Address
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Address Line | 1441 KAPIOLANI BLVD SUITE 806
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City | HONOLULU
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State | HI
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Zip | 96814-4402
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Country | US
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Telephone | 808-797-2905
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Fax | 855-382-0230
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Authorized Official
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Title or Position | MEMBER
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Name | DEREK TENGAN
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Credential |
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Telephone | 808-630-8388
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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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