# WAIMANALO PHARMACY INC

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

## Provider details

- **NPI number:** 1477694339
- **Authorized official:** RICHARD CHANG (PHARMACIST)
- **Authorized official phone:** (808) 259-4888

## Contact information

- **Practice address:** 41 1610 KALANIANAOLE HWY, WAIMANALO, HI 96795
- **Practice address phone:** (808) 259-8488
- **Practice address fax:** (808) 259-0939
- **Mailing address:** 41 1610 KALANIANAOLE HWY, WAIMANALO, HI 96795
- **Mailing address phone:** (808) 259-8488
- **Mailing address fax:** (808) 259-0939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY-346 | HI | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 06/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01622401 | — | HI |
| 01 | — | 2017994 | PK | — |