Organization
PACIFIC HEALTH PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYLEANN HO (MANAGING DIRECTOR)
(808) 833-3414
Entity
Organization
Contact information
Practice address
2875 KOAPAKA ST, STE B, HONOLULU, HI 96819-1921
(808) 833-3414
(808) 833-3416
Mailing address
2875 KOAPAKA ST, STE B, HONOLULU, HI 96819-1921
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHY681
HI
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1239842
OTHER ID NUMBER
—
05
—
590580
—
HI
Enumeration date
12/11/2006
Last updated
07/26/2007
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