NPI 1366011256 · live from the CMS NPI Registry
Kokua Kalihi Valley Comprehensive Family Services
Pharmacy, Clinic Pharmacy in Honolulu, HI. National Provider Identifier 1366011256, active.
NPI record
| NPI | 1366011256 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Clinic Pharmacy 3336C0002X |
| Practice location | 2229 N School St, Honolulu, HI 96819 |
| Practice phone | 808-791-9400 |
| Mailing address | 2239 N School St, Honolulu, HI 96819 |
| Enumerated | June 23, 2021 |
| Last updated | June 23, 2021 |
| Authorized official | David Derauf, Chief Executive Officer |
| Other names | Kokua Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Clinic Pharmacy primary | 3336C0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.