Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Lihue Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES G/ ADAMS JR. (EXECUTIVE DIRECTOR, FINANCE LEADER)
(808) 286-6758
Entity
Organization
Contact information
Practice address
4366 KUKUI GROVE ST STE 101, KAISER LIHUE PHARMACY, LIHUE, HI 96766-2006
(808) 246-5624
(808) 246-5620
Mailing address
4366 KUKUI GROVE ST STE 101, KAISER LIHUE PHARMACY, LIHUE, HI 96766-2006
(808) 246-5624
(808) 246-5620
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PHY-897
HI
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155444
PK
—
Enumeration date
11/20/2015
Last updated
11/10/2020
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