Organization
CLINICAL PHARMACY CONSULTANTS
Active
Other names
Ponahawai Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLOYD W. BARTY D.M.D. (MANAGING DIRECTOR)
(808) 732-8826
Entity
Organization
Contact information
Practice address
670 PONAHAWAI ST, SUITE 213, HILO, HI 96720-2660
(808) 933-8555
(808) 933-3070
Mailing address
670 PONAHAWAI ST, SUITE 213, HILO, HI 96720-2660
(808) 933-8555
(808) 933-3070
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY-336
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001547-9
HMSA
HI
01
—
0000015479
HMSA QUEST
HI
01
—
1200093
NABP
—
Enumeration date
02/12/2007
Last updated
08/22/2020
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