Organization
QUEENS DEVELOPMENT CORPORATION & SUBSIDIARIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVIN SANJUME PHARMD., BCPS, MBA (DIRECTOR)
(808) 691-4342
Entity
Organization
Contact information
Practice address
91-2139 FORT WEAVER RD STE 106, EWA BEACH, HI 96706-3608
(808) 691-4342
Mailing address
1329 LUSITANA ST STE 101, HONOLULU, HI 96813-2401
(808) 691-4342
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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