Provider Demographics
NPI:1124792064
Name:MAUI PHARMACY SOLUTIONS LLC
Entity type:Organization
Organization Name:MAUI PHARMACY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AO
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:KEAHIOKAUWELA
Authorized Official - Last Name:LEHANO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:808-446-3348
Mailing Address - Street 1:95 MAHALANI ST RM 10
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2521
Mailing Address - Country:US
Mailing Address - Phone:808-446-3348
Mailing Address - Fax:808-451-2516
Practice Address - Street 1:95 MAHALANI ST RM 10
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2521
Practice Address - Country:US
Practice Address - Phone:808-446-3348
Practice Address - Fax:808-451-2516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty