Organization
KAISER FOUNDATION HOSPITALS
Active
Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER KIHEI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BERMEJO (PHARMACIST IN CHARGE)
(808) 643-7979
Entity
Organization
Contact information
Practice address
1279 S KIHEI RD, STE 120, KIHEI, HI 96753-5228
(808) 891-6860
(808) 891-6861
Mailing address
1279 S KIHEI RD, STE 120, KIHEI, HI 96753
(808) 891-6860
(808) 891-6861
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
PHY-590
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018875
PK
—
05
—
54323201
—
HI
Enumeration date
02/08/2007
Last updated
06/15/2021
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