Organization
OPEN DOOR RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEL HANNA RPH (PHARMACIST)
(808) 536-8686
Entity
Organization
Contact information
Practice address
1130 N NIMITZ HWY RM A153, HONOLULU, HI 96817-5777
(808) 536-8686
(877) 712-3920
Mailing address
1130 N NIMITZ HWY RM A153, HONOLULU, HI 96817-5777
(808) 536-8686
(877) 712-3920
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
45-5201812
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
739980
—
HI
Enumeration date
07/23/2014
Last updated
07/23/2014
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