Organization
KO OLAULOA HEALTH CENTER
Active
Parent organization
KO'OLAULOA HEALTH CENTER
Other names
Ko'olauloa Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
KO'OLAULOA HEALTH CENTER
Authorized official
TERRENCE H ARATANI (CEO)
(808) 792-3840
Entity
Organization
Contact information
Practice address
56-119 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9514
Mailing address
PO BOX 395, KAHUKU, HI 96731-0395
(808) 293-9514
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHY788
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686206
—
HI
Enumeration date
07/23/2010
Last updated
07/05/2022
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