Provider Demographics
NPI:1609945187
Name:PHARM NEUT INC
Entity Type:Organization
Organization Name:PHARM NEUT INC
Other - Org Name:AINA HAINA RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORP PRES V PRES
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:PREBULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-373-5151
Mailing Address - Street 1:850 W HIND DR
Mailing Address - Street 2:#111
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-1845
Mailing Address - Country:US
Mailing Address - Phone:808-373-5151
Mailing Address - Fax:808-373-5196
Practice Address - Street 1:850 W HIND DR
Practice Address - Street 2:#111
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-1845
Practice Address - Country:US
Practice Address - Phone:808-373-5151
Practice Address - Fax:808-373-5196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0001203859OtherRX AMERICA
120385OtherWALGREENS HEALTH INITIATI
1203859OtherCAREMARK NABP
1203859OtherAETNA NABP
1203859OtherEXPRESS SCRIPTS NABP
1203859OtherMEMBER HEALTH INC NABP
1203859OtherWELL POINT NABP
HI00223933OtherHMSA
12038OtherPRESCRIPTION SOLUTIONS NA
1203859OtherWEB MD NABP
1203859OtherARGUS NABP
1203859OtherRESTAT NABP
HI25011701Medicaid
1203859OtherWELL POINT NABP