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Contact Information

MEDIPHARM PHARMACY
1188 BISHOP ST
SUITE #802
HONOLULU, HI96813-3301
 Phone: 808-523-7088
 Fax: 808-523-7090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for MEDIPHARM PHARMACY

NPI # 1144369273
LBN Legal business name MEDIPHARM PHARMACY
Authorized official SCOTT KIM - (MEMBER,PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2007
Last updated 02/12/2020 - About 6 years ago
Identifiers
HI License # PH1976
HI Medicaid 539116
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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