Mina Pharmacy #16

LBN: Central Fill Pharmacy
Mina Pharmacy #16 is an health care organization with primary practice located at 3375 Koapaka St Ste F245 , Honolulu HI 96819-1881. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Mail Order Pharmacy is the primary health care specialty. Central Fill Pharmacy can be contacted via phone (808) 738-4540, or through Moser, Timothy via phone (808) 738-4540.

Contact Information

Primary practice address
3375 Koapaka St Ste F245 Honolulu HI 96819-1881
Fax: (808) 690-9163
Website:
Authorized official contact:
Name: Moser, Timothy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X 804 Hawaii

Profile Details

NPI number 1073882387
LBN Legal business name Central Fill Pharmacy
DBA Doing business as Mina Pharmacy #16
Authorized official Moser, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2011
Last updated Dec 16th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073882387 NPPES
Other 1240744 NCPDP PROVIDER IDENTIFICATION NUMBER

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