Organization
FOODLAND LAB #38
Active
Parent organization
FOODLAND SUPERMARKET LTD.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOODLAND SUPERMARKET LTD.
Authorized official
JACLYN MOORE PHARMD (LAB DIRECTOR)
(808) 885-2075
Entity
Organization
Contact information
Practice address
67-1185 MAMALAHOA HWY, KAMUELA, HI 96743-7304
(808) 885-2075
(808) 885-2061
Mailing address
67-1185 MAMALAHOA HWY, KAMUELA, HI 96743-7304
(808) 885-2075
(808) 885-2061
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14-CP1-362
HI
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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