Organization
HO OLA LAHUI HAWAI I
Active
Other names
HO OLA LAHUI HAWAI I
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PETERS (CEO)
(808) 240-0113
Entity
Organization
Contact information
Practice address
4491 RICE ST, STE 105A, LIHUE, HI 96766-1343
(808) 240-0200
(808) 246-0721
Mailing address
4491 RICE ST, STE 105A, LIHUE, HI 96766-1343
(808) 240-0200
(808) 246-0721
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY668
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019428
PK
—
05
—
788094
—
HI
Enumeration date
08/02/2005
Last updated
04/05/2016
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