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NPI 1578836698

NPI 1578836698 : CAREMARK LLC : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1578836698
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAREMARK LLC 
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Dates
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    Enumeration Date     |    02/21/2012
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    2969 MAPUNAPUNA PLACE SUITE 110
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96819-2000
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    Country              |    US
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    Telephone            |    808-839-3300
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    Fax                  |    808-839-3301
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Provider Business Mailing Address
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    Address Line         |    2969 MAPUNAPUNA PL STE 110 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96819-2000
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    Country              |    US
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    Telephone            |    808-839-3300
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BRANDON  AYCOCK 
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    Credential           |    
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    Telephone            |    800-746-7287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    HI
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Taxonomy #2
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    HI
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Taxonomy #3
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    Taxonomy Code        |    3336M0002X
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    Taxonomy Name        |    Mail Order Pharmacy
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    License Number       |    
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    License Number State |    HI
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