Organization
HAWAII HOME INFUSION ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GLICK RPH (PRESIDENT)
(808) 245-3787
Entity
Organization
Contact information
Practice address
4490 KOLOPA ST, SUITE B, LIHUE, HI 96766-2027
(808) 245-3787
(808) 246-6912
Mailing address
4490 KOLOPA ST, SUITE B, LIHUE, HI 96766-2027
(808) 245-3787
(808) 246-6912
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHY495
HI
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY 495
HI
Other
Enumeration date
12/21/2005
Last updated
01/07/2021
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