| NPI | 1699816058 |
|---|---|
| Doing Business As | KAISER WAILUKU PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANE LUNA Pharmacist In Charge 808-243-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: HI PHY-214) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-07-19 |