Organization Name:  HOME CARE HAWAII L.L.P


Practice Location:
94-479 UKEE ST  WAIPAHU, HI 96797 US
Tel: 808-677-1288  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	3336M0002X	Suppliers Pharmacy Mail Order Pharmacy	HI	PHY-592
N	333600000X	Suppliers Pharmacy	HI	PHY-592
N	3336C0003X	Suppliers Pharmacy	HI	PHY-592
N	332BP3500X	Suppliers Durable Medical Equipment & Medical Supplies	HI	PHY-592
N	251E00000X	Agencies Home Health
N	251F00000X	Agencies Home Infusion
Y	3336H0001X	Suppliers Pharmacy	HI	PHY-592

Other Provider Identifiers:

Issuer	Number	State	Type
	528309-01	HI	05
NCPDP	1203722		01
DEA	BH5680271		01
RX LICENSE	PHY-592	HI	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin