Organization
WELLNESS PHARMACY INC
Active
Other names
WELLNESS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY QUAN RPH (PRESIDENT)
(808) 550-2833
Entity
Organization
Contact information
Practice address
100 N BERETANIA ST, SUITE 148, HONOLULU, HI 96817-4712
(808) 550-2833
(808) 550-2832
Mailing address
100 N BERETANIA ST, SUITE 148, HONOLULU, HI 96817-4712
(808) 550-2833
(808) 550-2832
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY602
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1203873
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
25087601
—
HI
Enumeration date
12/26/2006
Last updated
05/04/2011
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