Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER WAIPIO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE YAFUSO PHARM. D. (PHARMACIST IN CHARGE)
(808) 432-3151
Entity
Organization
Contact information
Practice address
94 1480 MOANIANI ST, WAIPAHU, HI 96797
(808) 432-3150
(808) 432-3155
Mailing address
94 1480 MOANIANI ST, WAIPAHU, HI 96797
(808) 432-3150
(808) 432-3155
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
PHY-655
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019423
PK
—
05
—
55991601
—
HI
Enumeration date
02/09/2007
Last updated
02/28/2017
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