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Organization

PALI MOMI MEDICAL CENTER

Active
Parent organization
PALI MOMI MEDICAL CENTER
Other names
Pali Momi Medical Center Outpatient Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALI MOMI MEDICAL CENTER
Authorized official
DAVID Y OKABE (EVP & CFO)
(808) 535-7202
Entity
Organization

Contact information

Practice address
98 1079 MOANALUA RD, MOB SUITE 150, AIEA, HI 96701
(808) 840-5660
(808) 485-1700
Mailing address
98-1079 MOANALUA RD STE 150, AIEA, HI 96701-4714
(808) 840-5660

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
02/09/2006
Last updated
11/29/2022
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