NPI 1295879237 · live from the CMS NPI Registry
Garden Island Pharmacy Serv, INC
Pharmacy, Community/Retail Pharmacy in Koloa, HI. National Provider Identifier 1295879237, active.
NPI record
| NPI | 1295879237 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 5330 Koloa Rd, Bx 160, Koloa, HI 96756 |
| Practice phone | 808-338-0200 |
| Mailing address | 5330 Koloa Rd, Koloa, HI 96756 |
| Enumerated | February 15, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Stewart Swacker, President |
| Other names | Southshore Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PHY-406 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.