NPI | 1366011256 |
---|---|
Doing Business As | KOKUA PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID D DERAUF Chief Executive Officer 808-791-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2021-06-23 |
Last Update Date | 2021-06-23 |