# PAHOA PHARMACY LLC

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

## Provider details

- **NPI number:** 1205381803
- **Authorized official:** ISMAIL ABDOLAHI RPH (OWNER, PIC, AO)
- **Authorized official phone:** (808) 494-8960

## Contact information

- **Practice address:** 15-2660 PAHOA VILLAGE RD, PAHOA, HI 96778-6720
- **Practice address phone:** (808) 965-0601
- **Practice address fax:** (808) 965-0603
- **Mailing address:** PO BOX 11, 15-2660 PAHOA VILLAGE ROAD SUITE 205, PAHOA, HI 96778-0011
- **Mailing address phone:** (808) 965-0601
- **Mailing address fax:** (808) 965-0603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY-909 | HI | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 02/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2166589 | PK | — |