Provider Demographics
NPI:1598801797
Name:QSI INC
Entity Type:Organization
Organization Name:QSI INC
Other - Org Name:TIMES SUPERMARKET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:SUEANN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:YASUOKA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:808-831-5882
Mailing Address - Street 1:95-390 KUAHELANI AVE
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1192
Mailing Address - Country:US
Mailing Address - Phone:808-831-5882
Mailing Address - Fax:808-831-5888
Practice Address - Street 1:3375 KOAPAKA ST
Practice Address - Street 2:D108
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1800
Practice Address - Country:US
Practice Address - Phone:808-831-5882
Practice Address - Fax:808-831-5888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIIN PROCESS333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy