Lifeway Pharmacy (Koloa)

LBN: Iaomai 4 Llc
Lifeway Pharmacy (Koloa) is an health care organization with primary practice located at 5330 Koloa Rd Ste 2 , Koloa HI 96756-8624. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Iaomai 4 Llc can be contacted via phone (808) 742-7512, or through Malapit, Lianne Hiroko via phone (808) 639-1891.

Contact Information

Primary practice address
5330 Koloa Rd Ste 2 Koloa HI 96756-8624
Phone: (808) 742-7512
Fax: (808) 742-7070
Website:
Map and Directions
Authorized official contact:
Name: Malapit, Lianne Hiroko PHARM. D.
Phone: (808) 639-1891

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X PHY-806 Hawaii

Profile Details

NPI number 1053899955
LBN Legal business name Iaomai 4 Llc
DBA Doing business as Lifeway Pharmacy (Koloa)
Authorized official Malapit, Lianne Hiroko PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2018
Last updated Aug 2nd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053899955 NPPES
Hawaii MEDICAID 688294
Hawaii Other PHY-806

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