Organization
FOODLAND LAB #32
Active
Parent organization
FOODLAND SUPERMARKET LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOODLAND SUPERMARKET LTD
Authorized official
JACLYN MOORE PHARM D (LAB DIRECTOR)
(808) 885-2075
Entity
Organization
Contact information
Practice address
55-510 KAMEHAMEHA HWY, LAIE, HI 96762-1138
(808) 293-9919
(808) 293-9926
Mailing address
55-510 KAMEHAMEHA HWY, LAIE, HI 96762-1138
(808) 293-9919
(808) 293-9926
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14-CP1-360
HI
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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