Provider Demographics
NPI:1497016471
Name:PHARMACARE INTERNATIONAL INC
Entity Type:Organization
Organization Name:PHARMACARE INTERNATIONAL INC
Other - Org Name:PHARMACARE NO. 1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:
Authorized Official - Last Name:YOSHINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-840-5656
Mailing Address - Street 1:3375 KOAPAKA ST STE G320
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1898
Mailing Address - Country:US
Mailing Address - Phone:808-840-5620
Mailing Address - Fax:808-521-7835
Practice Address - Street 1:2228 LILIHA ST STE 100
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1651
Practice Address - Country:US
Practice Address - Phone:808-840-5620
Practice Address - Fax:808-521-7835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPHY6153336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI524167Medicaid
2135364OtherPK
2135364OtherPK