Organization
RAINBOW PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERT SHUSTER PHARM.D. (OWNER/PHARMACIST-IN-CHARGE)
(808) 879-9924
Entity
Organization
Contact information
Practice address
431 SEVENTH ST, LANAI CITY, HI 96763
(808) 565-9332
(808) 565-9333
Mailing address
PO BOX 631255, LANAI CITY, HI 96763-1255
(808) 565-9333
(808) 565-9332
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY885
HI
3336L0003X
Long Term Care Pharmacy
PHY885
HI
3336S0011X
Specialty Pharmacy
PHY885
HI
Other
Enumeration date
04/13/2015
Last updated
09/10/2015
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