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Organization
PAHOA PHARMACY LLC
Active
Organization
PAHOA PHARMACY LLC
Active
Other names
Pahoa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAIL ABDOLAHI RPH (OWNER, PIC, AO)
(808) 494-8960
Entity
Organization
Contact information
Practice address
15-2660 PAHOA VILLAGE RD, PAHOA, HI 96778-6720
(808) 965-0601
(808) 965-0603
Mailing address
PO BOX 11, 15-2660 PAHOA VILLAGE ROAD SUITE 205, PAHOA, HI 96778-0011
(808) 965-0601
(808) 965-0603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY-909
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166589
PK
—
Enumeration date
08/24/2016
Last updated
02/14/2017
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