# NORTH SHORE PHARMACY

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

## Provider details

- **NPI number:** 1669429239
- **Authorized official:** MR. HARRY CAROLD BJORNSON (REGISTERED PHARMACIST)
- **Authorized official phone:** 80829399514

## Contact information

- **Practice address:** 56-119 PUALALEA ST, KAHUKU, HI 96731-2052
- **Practice address phone:** (808) 293-9514
- **Practice address fax:** (808) 293-8699
- **Mailing address:** PO BOX 385, KAHUKU, HI 96731-0385
- **Mailing address phone:** (808) 293-9514
- **Mailing address fax:** (808) 293-8699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY155 | HI | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04408201 | — | HI |