Organization
QUEENS DEVELOPMENT CORPORATION & SUBSIDIARIES
Active
Other names
QUEENS POB III PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN SANJUME PHARMD (DIR, RETAIL & CONTRCT PHCY)
(808) 691-4342
Entity
Organization
Contact information
Practice address
550 S BERETANIA ST, STE 102, HONOLULU, HI 96813-2414
(808) 691-8925
(808) 691-8926
Mailing address
550 S BERETANIA ST, STE 102, HONOLULU, HI 96813-2414
(808) 691-8925
(808) 691-8926
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY679
HI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019448
PK
—
05
—
614041
—
HI
Enumeration date
12/04/2006
Last updated
07/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us