Provider Demographics
NPI:1841382777
Name:CHINATOWN PHARMACY
Entity Type:Organization
Organization Name:CHINATOWN PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANH
Authorized Official - Middle Name:TAN
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:808-533-6288
Mailing Address - Street 1:70 N HOTEL ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5105
Mailing Address - Country:US
Mailing Address - Phone:808-533-6288
Mailing Address - Fax:808-533-6288
Practice Address - Street 1:70 N HOTEL ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5105
Practice Address - Country:US
Practice Address - Phone:808-533-6288
Practice Address - Fax:808-533-6288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPHY-4393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1202528OtherNABP
HI05439401Medicaid