Organization
FOODLAND LAB #43
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
4850 KAPOLEI PKWY, KAPOLEI, HI 96707-3203
(808) 674-1156
(808) 674-1159
Mailing address
4850 KAPOLEI PKWY, KAPOLEI, HI 96707-3203
(808) 674-1156
(808) 674-1159
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14CP1-363
HI
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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