# KAPA'A PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIHUE CLINIC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033412895
- **Authorized official:** KEVIN GLICK (MANAGING MEMBER)
- **Authorized official phone:** (808) 246-9100

## Contact information

- **Practice address:** 3216 ELUA ST, LIHUE, HI 96766-1213
- **Practice address phone:** (808) 246-6900
- **Practice address fax:** (808) 246-6906
- **Mailing address:** 4490 KOLOPA ST STE B, LIHUE, HI 96766-2027
- **Mailing address phone:** (808) 246-6900
- **Mailing address fax:** (808) 246-6906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY 793 | HI | Yes |

## Other

- **Enumeration date:** 12/16/2010
- **Last updated:** 10/20/2020