Organization
PRESCRIPTION COMPOUNDING SPECIALISTS INC
Active
Other names
d/b/a Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GREGORY RPH (PRESIDENT)
(808) 487-9988
Entity
Organization
Contact information
Practice address
99-115 AIEA HEIGHTS DR, #205, AIEA, HI 96701-3924
(808) 487-9988
(808) 424-0042
Mailing address
99-115 AIEA HEIGHTS DR, #301, AIEA, HI 96701-3924
(808) 487-9988
(808) 484-0042
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY-646
HI
Other
Enumeration date
03/24/2006
Last updated
01/14/2016
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