Organization
APOTHECARY OF KAUAI, INC.
Active
Other names
Shoreview Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILES RICHARD LAHR RPH., CDE (PRESIDENT)
(808) 822-1447
Entity
Organization
Contact information
Practice address
1177 KUHIO HWY, SUITE 113, KAPAA, HI 96746-1113
(808) 822-1447
(808) 823-0113
Mailing address
PO BOX 1113, KAPAA, HI 96746-1113
(808) 822-1447
(808) 823-0113
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY-344
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001707-9
HMSA
HI
01
—
1201829
NCPDP
HI
Enumeration date
10/04/2006
Last updated
08/22/2020
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