Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER MILILANI CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT LAU PHARM D (PHARMACIST IN CHARGE)
(808) 432-4225
Entity
Organization
Contact information
Practice address
95 660 LANIKUHANI AVE, MILILANI, HI 96789
(808) 432-4225
(808) 432-4343
Mailing address
95 660 LANIKUHANI AVE, MILILANI, HI 96789
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
PHY350
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1202439
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
54327401
—
HI
Enumeration date
04/03/2007
Last updated
09/12/2007
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