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General NPI Number Information
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NPI Number | 1093860959
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Entity Type | Organization
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Legal Business Name | FOODLAND SUPERMARKET LTD
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 67 1185 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743
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Country | US
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Telephone | 808-885-2075
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Fax | 808-885-2061
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Provider Business Mailing Address
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Address Line | 3536 HARDING AVE
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City | HONOLULU
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State | HI
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Zip | 96816-2453
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Country | US
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Telephone | 808-732-0791
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Fax | 808-735-7275
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | PATRICK ADAMS
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Credential |
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Telephone | 808-735-7202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY633
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License Number State | HI
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