Paradise Pharmacy

LBN: Upcountry Pharmacy Services Inc
Paradise Pharmacy is an health care organization with primary practice located at 81 Makawao Ave Suite 106, Makawao HI 96768-8895. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Upcountry Pharmacy Services Inc can be contacted via phone (808) 572-1266, or through Land, Larry via phone (808) 572-1266.

Contact Information

Primary practice address
81 Makawao Ave Suite 106 Makawao HI 96768-8895
Phone: (808) 572-1266
Fax: (808) 572-0745
Website:
Map and Directions
Authorized official contact:
Name: Land, Larry RPH
Phone: (808) 572-1266

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY445 Hawaii

Profile Details

NPI number 1306911987
LBN Legal business name Upcountry Pharmacy Services Inc
DBA Doing business as Paradise Pharmacy
Authorized official Land, Larry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Dec 12th, 2008 - about 17 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 1306911987 NPPES
Other 1202477 NCPDP PROVIDER IDENTIFICATION NUMBER

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