Kaiser Wailuku Pharmacy

LBN: Kaiser Foundation Health Plan Inc
Kaiser Wailuku Pharmacy is an health care organization with primary practice located at 80 Mahalani St , Wailuku HI 96793-2531. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Managed Care Organization Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (808) 243-6565, or through Luna, Dane via phone (808) 243-6155.

Contact Information

Primary practice address
80 Mahalani St Wailuku HI 96793-2531
Fax: (808) 243-6065
Website:
Authorized official contact:
Name: Luna, Dane PHARM D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Managed Care Organization Pharmacy 3336M0003X PHY-214 Hawaii

Profile Details

NPI number 1699816058
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Wailuku Pharmacy
Authorized official Luna, Dane PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 19th, 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 1699816058 NPPES
Other 2018333 PK
MEDICAID 54333101 PK

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