Organization
WAIMANALO PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHANG (PHARMACIST)
(808) 259-4888
Entity
Organization
Contact information
Practice address
41 1610 KALANIANAOLE HWY, WAIMANALO, HI 96795
(808) 259-8488
(808) 259-0939
Mailing address
41 1610 KALANIANAOLE HWY, WAIMANALO, HI 96795
(808) 259-8488
(808) 259-0939
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY-346
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01622401
—
HI
01
—
2017994
PK
—
Enumeration date
02/12/2007
Last updated
06/08/2018
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