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NPI 1740407840 · live from the CMS NPI Registry

Kaiser Foundation Hospitals

Pharmacy, Managed Care Organization Pharmacy in Hilo, HI. National Provider Identifier 1740407840, active.

NPI record

NPI1740407840 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Managed Care Organization Pharmacy 3336M0003X
Practice location1292 Waianuenue Ave, Hilo, HI 96720
Practice phone808-934-4090
EnumeratedApril 19, 2007
Last updatedFebruary 28, 2017
Authorized officialRobert Sandstrom, Pharmacist In Charge
Other namesKaiser Hilo Pharmacy

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Clinic Pharmacy3336C0002X—
Pharmacy, Managed Care Organization Pharmacy primary3336M0003XPHY563 (HI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.