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General NPI Number Information
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NPI Number | 1801965389
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Entity Type | Organization
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Legal Business Name | PHARM NEUT INC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | #1 GOVERNMENT RD
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City | PAHOA
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State | HI
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Zip | 96778-1433
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Country | US
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Telephone | 808-965-7535
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Fax | 808-965-6159
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Provider Business Mailing Address
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Address Line | PO BOX 1433 #1 GOVERNMENT RD
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City | PAHOA
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State | HI
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Zip | 96778-1433
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Country | US
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Telephone | 808-965-7535
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Fax | 808-965-6159
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Authorized Official
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Title or Position | CORP PRES V PRES
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Name | MRS. BONNIE G PREBULA
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Credential |
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Telephone | 808-965-5629
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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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