Organization
FOODLAND LAB #30
Active
Organization
FOODLAND LAB #30
Active
Parent organization
FOODLAND SUPERMARKET LTD.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOODLAND SUPERMARKET LTD.
Authorized official
JACLYN MOORE PHARM D (LAB DIRECTOR)
(808) 885-2075
Entity
Organization
Contact information
Practice address
5-4280 KUHIO HIGHWAY, PRINCEVILLE, HI 96722
(808) 826-4228
(808) 826-4199
Mailing address
PO BOX 223005, PRINCEVILLE, HI 96722-3005
(808) 826-4228
(808) 826-4199
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14-CP1-359
HI
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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