Organization
FOODLAND SUPER MARKET LIMITED
Active
Other names
Foodland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ADAMS (DIRECTOR OF PHARMACY)
(808) 735-7202
Entity
Organization
Contact information
Practice address
2100 KANOELEHUA AVE, HILO, HI 96720-6500
(808) 959-5831
Mailing address
2100 KANOELEHUA AVE, HILO, HI 96720-6500
(808) 959-5831
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY828
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1240984
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/30/2012
Last updated
11/30/2012
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