# PUNA PLANTATION HAWAII, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waikoloa Village Market Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962846063
- **Authorized official:** TOBY B TANIGUCHI (PRESIDENT)
- **Authorized official phone:** (808) 989-5466

## Contact information

- **Practice address:** 68-3916 PANIOLO AVE, WAIKOLOA, HI 96738
- **Practice address phone:** (808) 883-8434
- **Mailing address:** 68-3916 PANIOLO AVE, WAIKOLOA, HI 96738
- **Mailing address phone:** (808) 883-8434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY834 | HI | Yes |

## Other

- **Enumeration date:** 04/19/2013
- **Last updated:** 08/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 766842 | — | HI |