Organization
KULA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM NILES ADMINISTRATION (ADMINISTRATION)
(808) 876-4307
Entity
Organization
Contact information
Practice address
100 KEOKEA PL, KULA, HI 96790-7450
(808) 876-4307
(808) 878-1791
Mailing address
100 KEOKEA PL, KULA, HI 96790-7450
(808) 876-4307
(808) 878-1791
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY-58
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002375-01
—
HI
01
—
1204293
NCPDP PHARMACY
HI
01
—
1639257793
NPI HOSPITAL
HI
05
—
578271
—
HI
Enumeration date
05/15/2007
Last updated
08/22/2020
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