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General NPI Number Information
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NPI Number | 1871767731
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Entity Type | Organization
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Legal Business Name | PHARMAL LLC
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 500 ALA MOANA BLVD TOWER 1- SUITE 302
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City | HONOLULU
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State | HI
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Zip | 96813-4920
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Country | US
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Telephone | 808-628-2870
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Fax | 808-536-5180
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Provider Business Mailing Address
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Address Line | 3375 KOAPAKA STRRET STE G320
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City | HONOLULU
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State | HI
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Zip | 96819
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Country | US
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Telephone | 808-628-2870
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Fax | 808-536-5180
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Authorized Official
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Title or Position | MANG
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Name | BRYON YOSHINO
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Credential | PHRMD
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Telephone | 808-840-5656
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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 | PHY702
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License Number State | HI
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