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General NPI Number Information
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NPI Number | 1851801336
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Entity Type | Organization
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Legal Business Name | KAINALIU PHARMACY L.L.C
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 10/10/2017
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Provider Practice Location Address
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Address Line | 79-7393 MAMALAHOA HWY STE 3
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City | KEALAKEKUA
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State | HI
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Zip | 96750-7928
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Country | US
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Telephone | 808-323-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 79-7393 MAMALAHOA HWY STE 3
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City | KEALAKEKUA
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State | HI
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Zip | 96750-7928
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Country | US
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Telephone | 808-323-3200
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST IN CHARGE
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Name | MR. ISMAIL ABDOLAHI
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Credential | PHARMD
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Telephone | 808-494-8960
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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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