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Organization

NORTH SHORE PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HARRY CAROLD BJORNSON (REGISTERED PHARMACIST)
80829399514
Entity
Organization

Contact information

Practice address
56-119 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9514
(808) 293-8699
Mailing address
PO BOX 385, KAHUKU, HI 96731-0385
(808) 293-9514
(808) 293-8699

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY155
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04408201
HI
Enumeration date
05/28/2006
Last updated
08/22/2020
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