Kta Keauhou Pharmacy

LBN: Puna Plantation Hawaii, Ltd.
Kta Keauhou Pharmacy is an health care organization with primary practice located at 78-6831 Alii Dr , Kailua Kona HI 96740-2495. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Puna Plantation Hawaii, Ltd. can be contacted via phone (808) 322-2511, or through Taniguchi, Toby B via phone (808) 989-5466.

Contact Information

Primary practice address
78-6831 Alii Dr Kailua Kona HI 96740-2495
Phone: (808) 322-2511
Fax: (808) 322-1832
Website:
Map and Directions
Authorized official contact:
Name: Taniguchi, Toby B
Phone: (808) 989-5466

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY349 Hawaii

Profile Details

NPI number 1518057017
LBN Legal business name Puna Plantation Hawaii, Ltd.
DBA Doing business as Kta Keauhou Pharmacy
Authorized official Taniguchi, Toby B
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Dec 11th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518057017 NPPES
Hawaii Other 102639 MEDICARE MASS IMMUNIZ ROS
Hawaii MEDICAID 08387401 MEDICARE MASS IMMUNIZ ROS

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