Organization
PAHOA PHARMACY LLC
Active
Other names
Pahoa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAIL ABDOLAHI RPH (OWNER, PIC, AO)
(808) 494-8960
Entity
Organization
Contact information
Practice address
15-2660 PAHOA VILLAGE RD, PAHOA, HI 96778-6720
(808) 965-0601
(808) 965-0603
Mailing address
PO BOX 11, 15-2660 PAHOA VILLAGE ROAD SUITE 205, PAHOA, HI 96778-0011
(808) 965-0601
(808) 965-0603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY-909
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166589
PK
—
Enumeration date
08/24/2016
Last updated
02/14/2017
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