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Contact Information

IAOMAI 4 LLC
5330 KOLOA RD STE 2
KOLOA, HI96756-8624
 Phone: 808-742-7512
 Fax: 808-742-7070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for IAOMAI 4 LLC

NPI # 1053899955
LBN Legal business name IAOMAI 4 LLC
Authorized official LIANNE MALAPIT - (MEMBER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2018
Last updated 08/02/2018 - About 8 years ago
Identifiers
HI License # PHY-806
HI Medicaid 688294
HI Other PHY-806 PHARMACY LICENSE
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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