Organization
OUTRIGGER SHOPS LTD
Active
Other names
Kuhio Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN G NORSTROM (PRESIDENT OWNER OF THE COMPANY)
(808) 923-2057
Entity
Organization
Contact information
Practice address
2330 KUHIO AVE, HONOLULU, HI 96815-2951
(808) 923-4466
(808) 922-1104
Mailing address
2330 KUHIO AVE, MEZZANINE FLOOR, HONOLULU, HI 96815-2951
(808) 923-4466
(808) 922-1104
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY200
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08186101
—
HI
01
—
P0007778
HMSA
HI
Enumeration date
01/30/2007
Last updated
08/22/2020
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