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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