# QUEENS DEVELOPMENT CORPORATION & SUBSIDIARIES

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

## Provider details

- **NPI number:** 1265098701
- **Authorized official:** DR. GAVIN SANJUME PHARMD., BCPS, MBA (DIRECTOR)
- **Authorized official phone:** (808) 691-4342

## Contact information

- **Practice address:** 91-2139 FORT WEAVER RD STE 106, EWA BEACH, HI 96706-3608
- **Practice address phone:** (808) 691-4342
- **Mailing address:** 1329 LUSITANA ST STE 101, HONOLULU, HI 96813-2401
- **Mailing address phone:** (808) 691-4342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2019
- **Last updated:** 05/09/2019