# UPCOUNTRY PHARMACY SERVICES INC

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

## Provider details

- **NPI number:** 1306911987
- **Authorized official:** LARRY LAND RPH (OWNER AND PRESIDENT)
- **Authorized official phone:** (808) 572-1266

## Contact information

- **Practice address:** 81 MAKAWAO AVE, SUITE 106, MAKAWAO, HI 96768-8895
- **Practice address phone:** (808) 572-1266
- **Practice address fax:** (808) 572-0745
- **Mailing address:** 81 MAKAWAO AVE, SUITE 106, MAKAWAO, HI 96768-8895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY445 | HI | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 12/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1202477 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |