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Organization
VALLEY ISLE PHARMACY
Active
Organization
VALLEY ISLE PHARMACY
Active
Other names
wailuku town pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT M. KOMODA R.PH. (MANAGER)
(808) 242-7095
Entity
Organization
Contact information
Practice address
99 S MARKET ST, WAILUKU, HI 96793-2200
(808) 242-7095
(808) 244-9747
Mailing address
99 S MARKET ST, WAILUKU, HI 96793-2200
(808) 242-7095
(808) 244-9747
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
379
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08323601
—
HI
Enumeration date
05/26/2006
Last updated
08/22/2020
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