Organization
HAWAII PACIFIC DME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE D REQUE MBA (PRESIDENT)
(808) 226-8119
Entity
Organization
Contact information
Practice address
98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701-5310
(808) 226-8119
(808) 486-1522
Mailing address
98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701-5310
(808) 226-8119
(808) 486-1522
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GE-043-921-2032
HAWAII TAX ID
HI
Enumeration date
04/25/2017
Last updated
04/25/2017
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