# VALLEY ISLE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** wailuku town pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861448979
- **Authorized official:** MR. CLINT M. KOMODA R.PH. (MANAGER)
- **Authorized official phone:** (808) 242-7095

## Contact information

- **Practice address:** 99 S MARKET ST, WAILUKU, HI 96793-2200
- **Practice address phone:** (808) 242-7095
- **Practice address fax:** (808) 244-9747
- **Mailing address:** 99 S MARKET ST, WAILUKU, HI 96793-2200
- **Mailing address phone:** (808) 242-7095
- **Mailing address fax:** (808) 244-9747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 379 | HI | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 08323601 | — | HI |