Organization
PHARMACY CORPORATION OF AMERICA
Active
Other names
KIHEI PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PEBBLES PANGRAZIO (CONTRACT ADMINISTRATOR)
(877) 975-2273
Entity
Organization
Contact information
Practice address
41 E LIPOA ST, SPACE 23A, KIHEI, HI 96753-8148
(808) 879-8499
(808) 874-0800
Mailing address
PO BOX 409244, ATLANTA, GA 30384-9244
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY579
HI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00315601
—
HI
01
—
1202302
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/08/2006
Last updated
09/11/2025
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