# IAOMAI 4 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifeway Pharmacy (Koloa)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053899955
- **Authorized official:** LIANNE HIROKO MALAPIT PHARM. D. (MEMBER/OWNER)
- **Authorized official phone:** (808) 639-1891

## Contact information

- **Practice address:** 5330 KOLOA RD STE 2, KOLOA, HI 96756-8624
- **Practice address phone:** (808) 742-7512
- **Practice address fax:** (808) 742-7070
- **Mailing address:** PO BOX 3753, LIHUE, HI 96766-6753
- **Mailing address phone:** (808) 639-1891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHY-806 | HI | Yes |

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 08/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 688294 | — | HI |
| 01 | — | PHY-806 | PHARMACY LICENSE | HI |