Organization
SHIIGI DRUG CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS H MATSUKADO RPH (PRESIDENT OWNER)
(808) 935-0001
Entity
Organization
Contact information
Practice address
333 KILAUEA AVE, HILO, HI 96720-3013
(808) 935-0001
(808) 969-9833
Mailing address
333 KILAUEA AVE, HILO, HI 96720-3013
(808) 935-0001
(808) 969-9833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHY-169
HI
3336C0003X
Community/Retail Pharmacy
PHY-169
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00791901
—
HI
05
—
57251201
—
HI
01
—
P7893
HMSA
HI
Enumeration date
04/19/2006
Last updated
08/15/2012
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