# 5 MINUTE PHARMACY LTC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 5 Minute Pharmacy Long Term Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336427509
- **Authorized official:** DEREK TENGAN (MEMBER)
- **Authorized official phone:** (808) 671-5511

## Contact information

- **Practice address:** 94-449 AKOKI ST STE 102, WAIPAHU, HI 96797-2732
- **Practice address phone:** (808) 671-5511
- **Practice address fax:** (808) 671-5522
- **Mailing address:** 94-449 AKOKI ST STE 102, WAIPAHU, HI 96797-2732
- **Mailing address phone:** (808) 671-5511
- **Mailing address fax:** (808) 671-5522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY-805 | HI | Yes |

## Other

- **Enumeration date:** 07/21/2011
- **Last updated:** 04/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2131191 | PK | — |
| 05 | — | 688690 | — | HI |