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General NPI Number Information
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NPI Number | 1821151440
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Entity Type | Organization
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Legal Business Name | DUKE ANN CORPORATION
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2100 KANOELEHUA AVE PUAINAKO TOWN CENTER B3
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City | HILO
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State | HI
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Zip | 96720-6500
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Country | US
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Telephone | 808-981-2055
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Fax | 808-981-2155
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Provider Business Mailing Address
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Address Line | 2100 KANOELEHUA AVE PUAINAKO TOWN CENTER B3
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City | HILO
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State | HI
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Zip | 96720-6500
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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 | PRESIDENT AND PIC
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Name | THOMAS MOYER
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Credential | BS
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Telephone | 808-981-2055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY609
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License Number State | HI
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Taxonomy #2
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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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