# 5 MINUTE PHARMACY LTC KALIHI LLC

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

## Provider details

- **NPI number:** 1962770578
- **Authorized official:** JILL TENGAN (MEMBER)
- **Authorized official phone:** (808) 845-5558

## Contact information

- **Practice address:** 1824 DILLINGHAM BLVD, SUITE \# C, HONOLULU, HI 96819-4019
- **Practice address phone:** (808) 845-5558
- **Practice address fax:** (808) 845-5565
- **Mailing address:** 1824 DILLINGHAM BLVD, SUITE \#C, HONOLULU, HI 96819-4019
- **Mailing address phone:** (808) 845-5558
- **Mailing address fax:** (808) 845-5565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 12/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1240756 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |