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Organization

KAHUKU MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STEPHANY VAIOLETI (CEO)
(808) 293-9221
Entity
Organization

Contact information

Practice address
56-117 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9221
(808) 293-2262
Mailing address
56-117 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9221
(808) 293-1574

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHY-699
HI
3336L0003X
Long Term Care Pharmacy
PHY-699
HI

Other

Enumeration date
11/16/2007
Last updated
01/30/2014
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