# WAIKIKI HEALTH CENTER PHARMACY

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

## Provider details

- **NPI number:** 1972806875
- **Authorized official:** LISA MANTOOTH (DIRECTOR OF BILLING / AR)
- **Authorized official phone:** (808) 791-9333

## Contact information

- **Practice address:** 277 OHUA AVE, HONOLULU, HI 96815-6612
- **Practice address phone:** (808) 922-4787
- **Mailing address:** 277 OHUA AVE, HONOLULU, HI 96815-6612
- **Mailing address phone:** (808) 922-4787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY-789 | HI | Yes |

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 12/15/2010