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General NPI Number Information
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NPI Number | 1780310763
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Entity Type | Organization
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Legal Business Name | KALEO'S PHARMACY LLC
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 4475 PAPALINA RD C1
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City | KALAHEO
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State | HI
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Zip | 96741
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Country | US
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Telephone | 808-431-4455
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Fax | 808-443-0095
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Provider Business Mailing Address
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Address Line | PO BOX 797
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City | KALAHEO
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State | HI
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Zip | 96741-0797
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Country | US
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Telephone | 808-346-5649
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Fax |
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Authorized Official
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Title or Position | OWNER/ PHARMACIST
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Name | CYRUS KALEO TUMBAGA
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Credential | PHARMD
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Telephone | 808-346-5649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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