Organization
KAISER FOUNDATION HEALTH PLAN, INC.
Active
Organization
KAISER FOUNDATION HEALTH PLAN, INC.
Active
Other names
KAISER WAILUKU ONCOLOGY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS T. TAKARA (EXECUTIVE DIRECTOR)
(808) 292-9368
Entity
Organization
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Mailing address
501 ALAKAWA ST STE 201, HONOLULU, HI 96817-5700
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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