Organization
THE LAHANA GROUP, LLC
Active
Other names
Kokua Health and Wellness Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL PATRICK CLEMONS (OWNER)
(805) 729-0147
Entity
Organization
Contact information
Practice address
710 FIERO LN, SUITE 26, SAN LUIS OBISPO, CA 93401-7900
(805) 250-1144
(888) 698-4759
Mailing address
710 FIERO LN, SUITE 26, SAN LUIS OBISPO, CA 93401-7900
(805) 250-1144
(888) 698-4759
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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