Organization
VALLEY ISLE PHARMACY
Active
Other names
wailuku town pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT M. KOMODA R.PH. (MANAGER)
(808) 242-7095
Entity
Organization
Contact information
Practice address
99 S MARKET ST, WAILUKU, HI 96793-2200
(808) 242-7095
(808) 244-9747
Mailing address
99 S MARKET ST, WAILUKU, HI 96793-2200
(808) 242-7095
(808) 244-9747
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
379
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08323601
—
HI
Enumeration date
05/26/2006
Last updated
08/22/2020
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