NPI 1740684604 · live from the CMS NPI Registry
Kailua Family Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Kailua, HI. National Provider Identifier 1740684604, active.
NPI record
| NPI | 1740684604 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1090 Keolu Dr Ste 112113, Kailua, HI 96734 |
| Practice phone | 808-260-9894 |
| Mailing address | 1090 Keolu Dr, Ste #112/113, Kailua, HI 96734 |
| Enumerated | October 21, 2014 |
| Last updated | February 8, 2016 |
| Authorized official | Jake Blechta, President |
| Other names | Elixrx |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PHY-856 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.