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Organization

KAPA'A PHARMACY, LLC

Active
Other names
LIHUE CLINIC PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN GLICK (MANAGING MEMBER)
(808) 246-9100
Entity
Organization

Contact information

Practice address
3216 ELUA ST, LIHUE, HI 96766-1213
(808) 246-6900
(808) 246-6906
Mailing address
4490 KOLOPA ST STE B, LIHUE, HI 96766-2027
(808) 246-6900
(808) 246-6906

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 793
HI

Other

Enumeration date
12/16/2010
Last updated
10/20/2020
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