Organization
PHARM NEUT INC
Active
Other names
Pahoa Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE G PREBULA (CORP PRES V PRES)
(808) 965-5629
Entity
Organization
Contact information
Practice address
#1 GOVERNMENT RD, PAHOA, HI 96778-1433
(808) 965-7535
(808) 965-6159
Mailing address
PO BOX 1433, #1 GOVERNMENT RD, PAHOA, HI 96778-1433
(808) 965-7535
(808) 965-6159
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001342NABP1202667
CAREMARK
—
01
—
0000228007
HMSA
—
05
—
02592601
—
HI
01
—
1202667
MEMBER HEALTH INC
—
01
—
NABP0001202667
RX AMERICA
—
01
—
NABP1202667
RX SOLUTIONS
—
01
—
NABP1202667028900001
ARGUS
—
Enumeration date
11/07/2006
Last updated
08/22/2020
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