Medipharm Pharmacy

LBN: Medipharm Pharmacy Llc
Medipharm Pharmacy is an health care organization with primary practice located at 891 Ululani St Ste 113 , Hilo HI 96720-3982. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Medipharm Pharmacy Llc can be contacted via phone (808) 969-9163, or through Dahlem, Scott via phone (808) 523-7088.

Contact Information

Primary practice address
891 Ululani St Ste 113 Hilo HI 96720-3982
Fax: (808) 969-9263
Website:
Authorized official contact:
Name: Dahlem, Scott

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY870 Hawaii
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1013305457
LBN Legal business name Medipharm Pharmacy Llc
DBA Doing business as Medipharm Pharmacy
Authorized official Dahlem, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2015
Last updated Feb 12th, 2020 - about 4 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 1013305457 NPPES
Hawaii MEDICAID 539116
Hawaii Other 2149431

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