# PUNA PLANTATION HAWAII, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KTA Kamuela Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134219645
- **Authorized official:** TOBY B TANIGUCHI (PRESIDENT)
- **Authorized official phone:** (808) 989-5466

## Contact information

- **Practice address:** 65-1158 MAMALAHOA HWY, KAMUELA, HI 96743-8442
- **Practice address phone:** (808) 885-0033
- **Practice address fax:** (808) 885-0397
- **Mailing address:** PO BOX 388, KAMUELA, HI 96743-0388
- **Mailing address phone:** (808) 885-0033
- **Mailing address fax:** (808) 885-0397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY447 | HI | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 08165201 | — | HI |
| 01 | — | 102639 | MEDICARE MASS IMMUNIZ ROS | HI |
