Organization
NAN KULI KAI PHARMACY INC
Active
Other names
Waikoloa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE G PREBULA RPH (CORP PRES V PRES)
(808) 965-5629
Entity
Organization
Contact information
Practice address
68 1845 WAIKOLOA ROAD, #113, WAIKOLOA, HI 96738-5001
(808) 883-8484
(808) 883-8871
Mailing address
PO BOX 385001, WAIKOLOA, HI 96738-5001
(808) 883-8484
(808) 883-8871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY499
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00102301
—
HI
01
—
B80057
HMSA
—
Enumeration date
11/03/2006
Last updated
07/21/2008
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