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NPI Code Detail

MEDICARE: IAOMAI 1 LLC

MEDICARE: IAOMAI 1 LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPHY674HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12019442OTHERPK

General Provider Information

NPI Number : 1326070442
Entity Type Code : Organization
Provider Name (Legal Business Name) : IAOMAI 1 LLC
Provider Business Mailing Address
First Line : PO BOX 3753
Second Line :
City : LIHUE
State : HI
Zip : 96766-6753
Country : US
Telephone Number : 808-245-2471
Fax Number :
Provider Business Practice Location Address
First Line : 2281 KANIO ST.
Second Line :
City : LIHUE
State : HI
Zip : 96766-1040
Country : US
Telephone Number : 808-245-2471
Fax Number : 808-245-7256
Authorized Official
Title or Position : OWNER
Name : LIANNE MALAPIT
Credential : PHARM. D.
Telephone Number : 808-639-1891
Provider Enumeration Date : 07/07/2006
Last Update Date : 06/18/2021

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Directions to “IAOMAI 1 LLC ” Practice Location

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