Organization
LIHUE PHARMACY INC
Active
Other names
LIHUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GLICK RPH (PRESIDENT)
(808) 246-9100
Entity
Organization
Contact information
Practice address
4491 KOLOPA ST STE A, SUITE A, LIHUE, HI 96766-2021
(808) 246-9100
(808) 246-9199
Mailing address
4491 KOLOPA ST STE A, SUITE A, LIHUE, HI 96766-2021
(808) 246-9100
(808) 246-9199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY647
HI
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019371
PK
—
05
—
546301
—
HI
Enumeration date
12/21/2005
Last updated
09/19/2025
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