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NPI 1376529412

OrganizationActive

G Corp Dba Maui Home Infusion

NPI 1376529412 · Parenteral & Enteral Nutrition Supplies (DME) · Kahului, HI

Provider details

NPI number: 1376529412
Entity type: Organization
Primary specialty: Parenteral & Enteral Nutrition Supplies (DME)Suppliers
Authorized official: Kevin Glick, President
License: PHY598 (HI)

Practice location

60 E Wakea Ave

Suite 116

Kahului, HI 96732-2466

Phone: (808) 871-4663

Fax: (808) 893-2001

More HI providers

Mailing address

4473 Pahee St

Lihue, HI 96766-2037

Registry dates

Enumerated: 2005-12-21
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

G Corp Dba Maui Home Infusion — NPI 1376529412, Kahului, HI | NPI Central