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General NPI Number Information
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NPI Number | 1265529119
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Entity Type | Organization
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Legal Business Name | KAHUKU HOSPITAL PHARMACY
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 56-117 PUALALEA ST
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City | KAHUKU
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State | HI
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Zip | 96731-2052
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Country | US
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Telephone | 808-293-9221
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Fax | 808-293-2262
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Provider Business Mailing Address
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Address Line | 56-117 PUALALEA ST
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City | KAHUKU
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State | HI
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Zip | 96731-2052
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | KRISTINE CORLISS
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Credential | PHARMACIST
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Telephone | 808-293-9221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | PHY329
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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