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General NPI Number Information
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NPI Number | 1770064685
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Entity Type | Organization
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Legal Business Name | MAUI PHARMACY SOLUTIONS LLC
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 95 MAHALANI ST # 28-5
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City | WAILUKU
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State | HI
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Zip | 96793-2521
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Country | US
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Telephone | 808-446-3348
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Fax | 808-451-2516
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Provider Business Mailing Address
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Address Line | 915 MAKAALA DR
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City | WAILUKU
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State | HI
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Zip | 96793-9443
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CORY KEAHIOKAUWELA LEHANO
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Credential |
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Telephone | 808-205-9866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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Taxonomy #3
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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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Taxonomy #4
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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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Taxonomy #5
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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 |
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