NPI: 1881695476 · HONOLULU, HI 96813 · Pharmacy · NPI assigned 08/03/2005
| Authorized Official | WHITING, SCOTT (PRESIDENT) |
| NPI Enumeration Date | 08/03/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 21 | $273.90 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0012A | 21 | 21 | $273.90 |