| NPI | 1750455986 |
|---|---|
| Doing Business As | KTA PUAINAKO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KERRI C OKAMURA Dir Of Pharmacy Operations 808-959-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: HI PHY413) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-01-19 |