Organization
CTIY PHARMACY KAPAHULU, INC.
Active
Other names
City Pharmacy Kapahulu
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL PHILLIP MUDRICK R.PH. (PHARMACIST-MANAGER)
(808) 739-1188
Entity
Organization
Contact information
Practice address
750 PALANI AVE, HONOLULU, HI 96816-1109
(808) 739-1188
(808) 735-6545
Mailing address
750 PALANI AVE, HONOLULU, HI 96816-1109
(808) 739-1188
(808) 735-6545
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY515
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00445401
—
HI
Enumeration date
07/31/2006
Last updated
08/22/2020
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