Organization
PUNA PLANTATION HAWAII, LTD
Active
Other names
Waikoloa Village Market Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TOBY B TANIGUCHI (PRESIDENT)
(808) 989-5466
Entity
Organization
Contact information
Practice address
68-3916 PANIOLO AVE, WAIKOLOA, HI 96738
(808) 883-8434
Mailing address
68-3916 PANIOLO AVE, WAIKOLOA, HI 96738
(808) 883-8434
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY834
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766842
—
HI
Enumeration date
04/19/2013
Last updated
08/27/2025
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