Organization
NINETEEN FIFTY-ONE PARTNERS, INC.
Active
Other names
Malama Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LEI MANWARRING (MANAGER)
(808) 324-6888
Entity
Organization
Contact information
Practice address
74-5563 KUAKINI HWY, SUITE 129, KAILUA-KONA, HI 96740
(808) 324-6888
(808) 324-7888
Mailing address
PO BOX 75, KEALAKEKUA, HI 96750-0075
(808) 324-6888
(808) 324-7888
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY845
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143211
PK
—
Enumeration date
12/03/2013
Last updated
02/06/2017
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