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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