# BENUELLI BROTHERS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTHSHORE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285812578
- **Authorized official:** MAGDI LATIF (PHARMACIST OWNER)
- **Authorized official phone:** (808) 828-1844

## Contact information

- **Practice address:** 5 4280 KUHIO HWY, PRINCEVILLE, HI 96722
- **Practice address phone:** (808) 826-1122
- **Practice address fax:** (808) 828-2866
- **Mailing address:** 2406 OKA STREET, STE 100, KILAUEA, HI 96754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY696 | HI | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/08/2008
- **Last updated:** 07/01/2008