# EAST HAWAII HEALTH PHARMACY

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

## Provider details

- **NPI number:** 1518601509
- **Authorized official:** MRS. JONI WALTJEN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (808) 932-3418

## Contact information

- **Practice address:** 1190 WAIANUENUE AVE STE 122, HILO, HI 96720-2089
- **Practice address phone:** (808) 932-3110
- **Mailing address:** 1190 WAIANUENUE AVE, HILO, HI 96720-2089

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2022
- **Last updated:** 08/24/2022