NPI 1083756753 · live from the CMS NPI Registry
Clinical Pharmacy Consultants
Pharmacy, Community/Retail Pharmacy in Hilo, HI. National Provider Identifier 1083756753, active.
NPI record
| NPI | 1083756753 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 670 Ponahawai St, Suite 213, Hilo, HI 96720 |
| Practice phone | 808-933-8555 |
| Enumerated | February 12, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Floyd Barty, Managing Director |
| Other names | Ponahawai Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PHY-336 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.