Organization
IAOMAI 1 LLC
Active
Other names
LIFEWAY PHARMACY-LIHUE
Organization subpart
No
Provider details
NPI number
Authorized official
LIANNE MALAPIT PHARM. D. (OWNER)
(808) 639-1891
Entity
Organization
Contact information
Practice address
2281 KANIO ST., LIHUE, HI 96766-1040
(808) 245-2471
(808) 245-7256
Mailing address
PO BOX 3753, LIHUE, HI 96766-6753
(808) 245-2471
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY674
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019442
PK
—
Enumeration date
07/07/2006
Last updated
06/18/2021
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