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Organization
FOODLAND SUPER MARKET LIMITED
Active
Organization
FOODLAND SUPER MARKET LIMITED
Active
Other names
Foodland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ADAMS (DIRECTOR OF PHARMACY)
(808) 735-7202
Entity
Organization
Contact information
Practice address
2100 KANOELEHUA AVE, HILO, HI 96720-6500
(808) 959-5831
Mailing address
2100 KANOELEHUA AVE, HILO, HI 96720-6500
(808) 959-5831
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY828
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1240984
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/30/2012
Last updated
11/30/2012
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