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Organization
KAU COMMUNITY PHARMACY, INC.
Active
Organization
KAU COMMUNITY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLOYD W. BARTY D.M.D. (PRESIDENT)
(808) 732-8826
Entity
Organization
Contact information
Practice address
96-1115 KAMANI STREET, SUITE 36, PAHALA, HI 96777
(808) 928-6252
(808) 928-6408
Mailing address
PO BOX 299, PAHALA, HI 96777-0299
(808) 928-6252
(808) 928-6408
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY-585
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000008084-6
HMSA
HI
01
—
0000080846
HMSA QUEST
HI
05
—
01273701
—
HI
01
—
1202504
NCPDP
—
Enumeration date
02/12/2007
Last updated
08/22/2020
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