Organization
PUNA PLANTATION HAWAII, LTD.
Active
Other names
KTA Keauhou Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TOBY B TANIGUCHI (PRESIDENT)
(808) 989-5466
Entity
Organization
Contact information
Practice address
78-6831 ALII DR, KAILUA KONA, HI 96740-2495
(808) 322-2511
(808) 322-1832
Mailing address
78-6831 ALII DR, KAILUA KONA, HI 96740-2495
(808) 322-2511
(808) 322-1832
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY349
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08387401
—
HI
01
—
102639
MEDICARE MASS IMMUNIZ ROS
HI
Enumeration date
10/13/2006
Last updated
08/27/2025
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