# KAHUKU HOSPITAL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265529119
- **Authorized official:** KRISTINE CORLISS PHARMACIST (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (808) 293-9221

## Contact information

- **Practice address:** 56-117 PUALALEA ST, KAHUKU, HI 96731-2052
- **Practice address phone:** (808) 293-9221
- **Practice address fax:** (808) 293-2262
- **Mailing address:** 56-117 PUALALEA ST, KAHUKU, HI 96731-2052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | PHY329 | HI | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1202035 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | J05619 | — | HI |