Organization
KAUAI PROFESSIONAL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY JAMES CHOMIUK RPH (PRESIDENT)
(808) 245-6306
Entity
Organization
Contact information
Practice address
3-3420B KUHIO HWY STE 101, LIHUE, HI 96766-1042
(808) 245-6306
Mailing address
5904 WAIPOULI RD, KAPAA, HI 96746-8822
(808) 635-5524
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/16/2023
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