Organization
LIHUE PHARMACY INC
Active
Other names
LIHUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GLICK RPH (PRESIDENT)
(808) 246-9100
Entity
Organization
Contact information
Practice address
4491 KOLOPA ST STE A, LIHUE, HI 96766-2021
(808) 246-9100
(808) 246-9199
Mailing address
4491 KOLOPA ST STE A, LIHUE, HI 96766-2021
(808) 246-9100
(808) 246-9199
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
546301
—
HI
Enumeration date
07/23/2019
Last updated
07/23/2019
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