# GARDEN ISLAND PHARMACY SERV, INC

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

## Provider details

- **NPI number:** 1295879237
- **Authorized official:** STEWART L SWACKER R.PH. (PRESIDENT)
- **Authorized official phone:** (808) 338-0200

## Contact information

- **Practice address:** 5330 KOLOA RD, BX 160, KOLOA, HI 96756-8604
- **Practice address phone:** (808) 338-0200
- **Mailing address:** 5330 KOLOA RD, KOLOA, HI 96756-8604
- **Mailing address phone:** (808) 338-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY-406 | HI | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 08/22/2020