Provider Demographics
NPI:1669565008
Name:OSHIMA BROS., INC.
Entity type:Organization
Organization Name:OSHIMA BROS., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHIMA KOSEDA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:808-322-3313
Mailing Address - Street 1:PO BOX 48
Mailing Address - Street 2:
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-0048
Mailing Address - Country:US
Mailing Address - Phone:808-322-3331
Mailing Address - Fax:808-322-8490
Practice Address - Street 1:79 7400 MAMALAHOA HWY
Practice Address - Street 2:
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750
Practice Address - Country:US
Practice Address - Phone:808-322-3313
Practice Address - Fax:808-322-8490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
HIPHY1013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI04485701Medicaid
2017882OtherPK
0829490001Medicare NSC