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General NPI Number Information
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NPI Number | 1962770578
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Entity Type | Organization
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Legal Business Name | 5 MINUTE PHARMACY LTC KALIHI LLC
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Dates
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Enumeration Date | 12/09/2011
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Last Update Date | 12/23/2011
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Provider Practice Location Address
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Address Line | 1824 DILLINGHAM BLVD SUITE # C
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City | HONOLULU
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State | HI
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Zip | 96819-4019
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Country | US
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Telephone | 808-845-5558
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Fax | 808-845-5565
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Provider Business Mailing Address
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Address Line | 1824 DILLINGHAM BLVD SUITE #C
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City | HONOLULU
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State | HI
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Zip | 96819-4019
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Country | US
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Telephone | 808-845-5558
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Fax | 808-845-5565
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Authorized Official
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Title or Position | MEMBER
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Name | JILL TENGAN
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Credential |
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Telephone | 808-845-5558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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