Garden Island Pharmacy Serv, Inc
Organization Active NPI Community/Retail Pharmacy · Koloa, HI
NPI 1295879237 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295879237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY-406 (HI)
- Legal business name
- GARDEN ISLAND PHARMACY SERV, INC
- Practice address
- 5330 Koloa Rd
BX 160
Koloa, HI 96756-8604 - Phone
- (808) 338-0200
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Stewart L Swacker, R.PH.
- Title
- President
- Phone
- (808) 338-0200
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Garden Island Pharmacy Serv Inc
Locations
5330 Koloa Rd
Koloa, HI 96756
5330 Koloa Rd
#160
Koloa, HI 96756
Phone (808) 338-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY-406 | HI | Yes |
Addresses
Primary practice location
5330 Koloa Rd
BX 160
Koloa, HI 96756-8604
Mailing address
5330 Koloa Rd
Koloa, HI 96756-8604
Phone (808) 338-0200
Other names
- SOUTHSHORE PHARMACY
Other providers in Koloa, HI
- Edward Franklin De Deo
- Kerry L Dillberg
- Ameen Fayek Elwir
- Homayra Fahmida
- Diane Faye
- Hale Kupuna Heritage Home, LLC
- Healing in Waves Therapy and Wellness LLC
- Molly R Heublein
- Iaomai 4 LLC
- Iaomai 4 LLC
All providers in Koloa, HI · Community/Retail Pharmacy in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.