National Provider Identifier Database

QUEENS DEVELOPMENT CORPORATION SUBSIDIARIES
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES
1329 LUSITANA ST
STE 101
HONOLULU, HI96813-2429
Phone: 808-691-4560
Fax: 808-691-4072
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Dialysis Equipment & Supplies 332BD1200X
Durable Medical Equipment & Medical Supplies 332B00000X
Nursing Facility Supplies 332BN1400X
Parenteral & Enteral Nutrition 332BP3500X
Prosthetic/Orthotic Supplier 335E00000X

* Indicates primary specialty

NPI Profile & details for QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES

NPI Number 1245231851
Legal business name
LBN
QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES
Authorized official GAVIN SANJUME - (DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 08/04/2005
Last updated 07/26/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • HI License #: PHY-465
  • HI Medicaid: 085381-01
  • HI Other: 1202578 NABP NUMBER
  • HI Other: 1202578 NCPDP NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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