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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