Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER HILO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SANDSTROM PHARMD (PHARMACIST IN CHARGE)
(808) 934-4090
Entity
Organization
Contact information
Practice address
1292 WAIANUENUE AVE, HILO, HI 96720-1228
(808) 934-4090
(808) 934-4089
Mailing address
1292 WAIANUENUE AVE, HILO, HI 96720-1228
(808) 934-4090
(808) 934-4089
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
PHY563
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018856
PK
—
05
—
54315901
—
HI
Enumeration date
04/19/2007
Last updated
02/28/2017
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