Organization
GARDEN ISLAND PHARMACY SERV, INC
Active
Other names
SOUTHSHORE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART L SWACKER R.PH. (PRESIDENT)
(808) 338-0200
Entity
Organization
Contact information
Practice address
5330 KOLOA RD, BX 160, KOLOA, HI 96756-8604
(808) 338-0200
Mailing address
5330 KOLOA RD, KOLOA, HI 96756-8604
(808) 338-0200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY-406
HI
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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