Organization
5 MINUTE PHARMACY LTC LLC
Active
Other names
5 Minute Pharmacy Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK TENGAN (MEMBER)
(808) 671-5511
Entity
Organization
Contact information
Practice address
94-449 AKOKI ST STE 102, WAIPAHU, HI 96797-2732
(808) 671-5511
(808) 671-5522
Mailing address
94-449 AKOKI ST STE 102, WAIPAHU, HI 96797-2732
(808) 671-5511
(808) 671-5522
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY-805
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131191
PK
—
05
—
688690
—
HI
Enumeration date
07/21/2011
Last updated
04/04/2024
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