# CLINICAL PHARMACY CONSULTANTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ponahawai Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083756753
- **Authorized official:** DR. FLOYD W. BARTY D.M.D. (MANAGING DIRECTOR)
- **Authorized official phone:** (808) 732-8826

## Contact information

- **Practice address:** 670 PONAHAWAI ST, SUITE 213, HILO, HI 96720-2660
- **Practice address phone:** (808) 933-8555
- **Practice address fax:** (808) 933-3070
- **Mailing address:** 670 PONAHAWAI ST, SUITE 213, HILO, HI 96720-2660
- **Mailing address phone:** (808) 933-8555
- **Mailing address fax:** (808) 933-3070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY-336 | HI | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001547-9 | HMSA | HI |
| 01 | — | 0000015479 | HMSA QUEST | HI |
| 01 | — | 1200093 | NABP | — |