Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER KONA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KASHIWABARA PHARM D (EXEC DIRECTOR)
(808) 432-5547
Entity
Organization
Contact information
Practice address
75 184 HUALALIA RD, KAILUA-KONA, HI 96740
(808) 334-4433
(808) 334-4438
Mailing address
75 184 HUALALIA RD, KAILUA-KONA, HI 96740
(808) 334-4433
(808) 334-4438
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
PHY401
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018846
PK
—
05
—
54324001
—
HI
Enumeration date
02/12/2007
Last updated
12/17/2013
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