Organization
J.G.N.A. CORP
Active
Other names
D.A. Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J.E. FONG (PRESIDENT)
(808) 293-1600
Entity
Organization
Contact information
Practice address
55-510 KAMEHAMEHA HWY, SUITE 13, LAIE, HI 96762-1138
(808) 293-1600
Mailing address
55-510 KAMEHAMEHA HWY, SUITE 13, LAIE, HI 96762-1138
(808) 293-1600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY-553
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07501901
—
HI
01
—
1203506
NABP
—
Enumeration date
08/30/2006
Last updated
08/22/2020
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