# KAISER FOUNDATION HEALTH PLAN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaiser West Oahu Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205424579
- **Authorized official:** ROSS TAKARA (EXECUTIVE DIRECTOR PHARMACY)
- **Authorized official phone:** (808) 432-2000

## Contact information

- **Practice address:** 401 KAMOKILA BLVD, KAPOLEI, HI 96707
- **Practice address phone:** (808) 643-7979
- **Mailing address:** 501 ALAKAWA ST, PHARMACY ADMINISTATION, HONOLULU, HI 96817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2021
- **Last updated:** 01/04/2021
