Provider Demographics
NPI:1750500260
Name:PILLBOX PHARMACY
Entity Type:Organization
Organization Name:PILLBOX PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MCELHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:808-737-1777
Mailing Address - Street 1:1133 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2408
Mailing Address - Country:US
Mailing Address - Phone:808-737-1777
Mailing Address - Fax:
Practice Address - Street 1:1133 11TH AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2408
Practice Address - Country:US
Practice Address - Phone:808-737-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI7033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1201223OtherNABP #
HIW0553378801OtherSTATE TAX ID #