Provider Demographics
NPI:1871034769
Name:HONOLULU MEDICAL SUPPLIES
Entity type:Organization
Organization Name:HONOLULU MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YASIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-379-3774
Mailing Address - Street 1:500 ALA MOANA BLVD., SUITE 400
Mailing Address - Street 2:7 WATERFRONT PLAZA
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-379-3774
Mailing Address - Fax:808-427-4187
Practice Address - Street 1:500 ALA MOANA BLVD., SUITE 400
Practice Address - Street 2:7 WATERFRONT PLAZA,
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-379-3774
Practice Address - Fax:808-427-4187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies