Organization
5 MINUTE PHARMACY LTC LLC
Active
Parent organization
5 MINUTE PHARMACY LTC LLC
Other names
5 Minute Pharmacy Long Term Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
5 MINUTE PHARMACY LTC LLC
Authorized official
DEREK TENGAN PHARM.D. (MEMBER)
(808) 671-5511
Entity
Organization
Contact information
Practice address
94-449 AKOKI ST STE 102, WAIPAHU, HI 96797-2732
(808) 671-5511
(808) 671-5522
Mailing address
94-449 AKOKI ST STE 102, WAIPAHU, HI 96797-2732
(808) 671-5511
(808) 671-5522
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688690
—
HI
Enumeration date
03/09/2022
Last updated
03/09/2022
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