# PALI MOMI MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALI MOMI MEDICAL CENTER
- **Other names:** Pali Momi Medical Center Outpatient Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851364731
- **Legal business name:** PALI MOMI MEDICAL CENTER
- **Authorized official:** DAVID Y OKABE (EVP & CFO)
- **Authorized official phone:** (808) 535-7202

## Contact information

- **Practice address:** 98 1079 MOANALUA RD, MOB SUITE 150, AIEA, HI 96701
- **Practice address phone:** (808) 840-5660
- **Practice address fax:** (808) 485-1700
- **Mailing address:** 98-1079 MOANALUA RD STE 150, AIEA, HI 96701-4714
- **Mailing address phone:** (808) 840-5660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 11/29/2022