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Contact Information

KAILUA FAMILY PHARMACY LLC
1090 KEOLU DR STE 112113
KAILUA, HI96734-3871
 Phone: 808-260-9894
 Fax: 808-260-9957
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KAILUA FAMILY PHARMACY LLC

NPI Number 1740684604
LBN Legal business name KAILUA FAMILY PHARMACY LLC
Authorized official JAKE BLECHTA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2014
Last updated 02/08/2016 - About 10 years ago
Identifiers
HI License # PHY-856
Other 2148405 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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