Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER MAUI LANI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANE LUNA PHARM D (PHARMACIST IN CHARGE)
(808) 243-6565
Entity
Organization
Contact information
Practice address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6565
(808) 243-6568
Mailing address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6565
(808) 243-6568
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
PHY-654
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019422
PK
—
05
—
55992401
—
HI
Enumeration date
04/03/2007
Last updated
02/28/2017
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