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Organization

FOODLAND LAB #24

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
55 PUKALANI ST, MAKAWAO, HI 96768-8544
(808) 572-8266
(808) 572-0144
Mailing address
55 PUKALANI ST, MAKAWAO, HI 96768-8544
(808) 572-8266
(808) 572-0144

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14-CP1-356
HI

Other

Enumeration date
02/06/2015
Last updated
02/06/2015
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