Organization
QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES
Active
Other names
Queen's POB I Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT WHITING (PRESIDENT)
(808) 691-1980
Entity
Organization
Contact information
Practice address
1380 LUSITANA ST, HONOLULU, HI 96813-2449
(808) 547-4745
(808) 547-4064
Mailing address
1380 LUSITANA ST, STREET LEVEL, HONOLULU, HI 96813-2449
(808) 691-4745
(808) 691-4064
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHY-470
HI
333600000X
Pharmacy
PHY-470
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085392-01
HMSA - BLUE CROSS/BLUE SH
HI
05
—
085392-01
—
HI
01
—
1201451
NCPDP NUMBER
HI
Enumeration date
08/03/2005
Last updated
12/31/2024
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