Organization
CENTRAL FILL PHARMACY
Active
Other names
Mina Pharmacy #16
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MOSER (DIRECTOR OF PHARMACY)
(808) 738-4540
Entity
Organization
Contact information
Practice address
3375 KOAPAKA ST STE F245, HONOLULU, HI 96819-1881
(808) 738-4540
(808) 690-9163
Mailing address
3375 KOAPAKA ST STE F245, HONOLULU, HI 96819-1881
(808) 738-4540
(808) 690-9163
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
804
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1240744
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/16/2011
Last updated
12/16/2011
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