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Organization

SUNSHINE DRUG AND SUNDRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA JEAN KUZEN RPH (OWNER /PHARMACIST-IN-CHARGE)
(808) 338-9907
Entity
Organization

Contact information

Practice address
9905 WAIMEA ROAD, WAIMEA, HI 96796
(808) 338-9628
(808) 338-9627
Mailing address
PO BOX 307, 9905 WAIMEA ROAD, WAIMEA, HI 96796-0307
(808) 338-9628
(808) 338-9627

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 821
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PHY 821
PHARMACY LICENSE
HI
Enumeration date
10/15/2012
Last updated
10/15/2012
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