# MEDIPHARM PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144369273
- **Authorized official:** MR. SCOTT KIM R.PH. (MEMBER,PHARMACIST)
- **Authorized official phone:** (808) 523-7088

## Contact information

- **Practice address:** 1188 BISHOP ST, SUITE \#802, HONOLULU, HI 96813-3301
- **Practice address phone:** (808) 523-7088
- **Practice address fax:** (808) 523-7090
- **Mailing address:** 1188 BISHOP ST, 802, HONOLULU, HI 96813-3301
- **Mailing address phone:** (808) 523-7088
- **Mailing address fax:** (808) 523-7090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | PH1976 | HI | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 02/12/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 539116 | — | HI |
