Provider First Line Business Practice Location Address: 
1425 LILIHA ST
    Provider Second Line Business Practice Location Address: 
TIMES PHARMACY
    Provider Business Practice Location Address City Name: 
HONOLULU
    Provider Business Practice Location Address State Name: 
HI
    Provider Business Practice Location Address Postal Code: 
96817-3522
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
808-522-5078
    Provider Business Practice Location Address Fax Number: 
808-522-5080
    Provider Enumeration Date: 
12/06/2007