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5 MINUTE PHARMACY LTC LLC NPI 1104573088


NPI Information

NPI: 1104573088
Provider Name: 5 MINUTE PHARMACY LTC LLC
Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

CLIA Number: 12D2196477

Address:
94-449 AKOKI ST STE 102
WAIPAHU, HI
ZIP 96797
Phone: (808) 671-5511
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5 MINUTE PHARMACY LTC LLC is a specialty pharmacy pharmacy in Waipahu, HI. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. 5 MINUTE PHARMACY LTC LLC NPI is 1104573088. The provider is registered as an organization entity type.

The provider's business location address is:

94-449 AKOKI ST STE 102
WAIPAHU, HI
ZIP 96797-732
Phone: (808) 671-5511
Fax: (808) 671-5522

The provider's authorized official is Derek Tengan .
The authorized official title is Member and has the following contact phone number (808) 671-5511.

The CLIA number assigned to this NPI record is 12D2196477 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2022 and was last updated on 3/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336S0011XPharmacySpecialty PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1688690MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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