Organization
CVS HEALTH
Active
Other names
Longs Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER NGO THAI PHARMD (PHARMACIST)
(808) 557-9034
Entity
Organization
Contact information
Practice address
91-919 FORT WEAVER RD, EWA BEACH, HI 96706-2257
(808) 689-5860
Mailing address
91-1031 KAIMALIE ST APT 4S3, EWA BEACH, HI 96706-6017
(808) 557-9034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T130529005
HAWAII PHARMACY INTERN LICENSE
HI
Enumeration date
08/06/2016
Last updated
08/06/2016
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