Provider Demographics
NPI:1780725804
Name:CLINICAL PHARMACY CONSULTANTS
Entity type:Organization
Organization Name:CLINICAL PHARMACY CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:W
Authorized Official - Last Name:BARTY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-732-8826
Mailing Address - Street 1:66-150 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-1419
Mailing Address - Country:US
Mailing Address - Phone:808-637-9393
Mailing Address - Fax:808-637-8875
Practice Address - Street 1:66-150 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:HALEIWA
Practice Address - State:HI
Practice Address - Zip Code:96712-1419
Practice Address - Country:US
Practice Address - Phone:808-637-9393
Practice Address - Fax:808-637-8875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPHY-4033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1201754OtherNABP
1201754OtherNCPDP
HI00101502Medicaid
1201754OtherNABP