Queens Pob Iii Pharmacy

LBN: Queens Development Corporation & Subsidiaries
Queens Pob Iii Pharmacy is an health care organization with primary practice located at 550 S Beretania St Ste 102, Honolulu HI 96813-2414. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Queens Development Corporation & Subsidiaries can be contacted via phone (808) 691-8925, or through Sanjume, Gavin via phone (808) 691-4342.

Contact Information

Primary practice address
550 S Beretania St Ste 102 Honolulu HI 96813-2414
Fax: (808) 691-8926
Website:
Authorized official contact:
Name: Sanjume, Gavin PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY679 Hawaii
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1003984246
LBN Legal business name Queens Development Corporation & Subsidiaries
DBA Doing business as Queens Pob Iii Pharmacy
Authorized official Sanjume, Gavin PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 20th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003984246 NPPES
Hawaii MEDICAID 614041
Hawaii Other 2019448

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