Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
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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