Organization
HONOLULU COMPOUNDING PHARMACY INC
Active
Other names
Honolulu Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAD USHIJIMA (PRESIDENT/SECRETARY)
(808) 375-6520
Entity
Organization
Contact information
Practice address
2080 S KING ST STE 101, HONOLULU, HI 96826-2226
(808) 979-3400
(808) 979-3401
Mailing address
2080 S KING ST STE 101, HONOLULU, HI 96826-2226
(808) 979-3400
(808) 979-3401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHY 773
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1240388
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/03/2009
Last updated
10/06/2009
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