Organization
CAREMARK, L.L.C.
Active
Other names
Caremark Hawaii Specialty Pharmacy, LLC dba CVS Caremark
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W. GOLDING (VICE PRESIDENT)
(800) 225-5967
Entity
Organization
Contact information
Practice address
970 N KALAHEO AVE, STE C106 PALI PALMS PLAZA, KAILUA, HI 96734-1866
(800) 834-8447
(808) 254-6153
Mailing address
PO BOX 840688, DALLAS, TX 75284-0688
(800) 225-5967
(909) 799-4364
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY 663
HI
333600000X
Pharmacy
PHY633
HI
3336H0001X
Home Infusion Therapy Pharmacy
PHY663
HI
3336S0011X
Specialty Pharmacy
Primary
PHY663
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56672101
—
HI
05
—
C0098972
—
GU
01
—
H0000PCCCZ
MEDICARE B
HI
Enumeration date
11/08/2005
Last updated
09/15/2009
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