PACIFIC HEALTH PHARMACY LLC
Mail Order Pharmacy
Honolulu, Hawaii
Provider NPI: 1699835827
Organization Information:Organization Name: PACIFIC HEALTH PHARMACY LLC
Practice Location:
2875 KOAPAKA ST STE B HONOLULU, HI 96819 US
Tel: 808-833-3414 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2875 KOAPAKA ST STE B HONOLULU, HI 96819 US
Tel: 808-833-3414 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | ||
N | 3336H0001X | Suppliers Pharmacy | ||
N | 3336C0002X | Suppliers Pharmacy | ||
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 3336C0003X | Suppliers Pharmacy | ||
N | 3336M0002X | Suppliers Pharmacy | ||
N | 3336S0011X | Suppliers Pharmacy | ||
Y | 3336C0004X | Suppliers Pharmacy | HI | PHY681 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 1239842 | 01 | |
590580 | HI | 05 | |
OTHER ID NUMBER | 1239842 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin