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Iaomai 4 Llc
Long Term Care Pharmacy in Koloa, Hawaii
NPI 1053899955

Iaomai 4 Llc is a Long Term Care Pharmacy based in Lihue, HI and is specialized in Long Term Care Pharmacy. Iaomai 4 Llc practices in Koloa, HI. The NPI Number for Iaomai 4 Llc is 1053899955 and holds a License No. PHY-806 (Hawaii).

The current practice location address for Iaomai 4 Llc is 5330 Koloa Rd Ste 2, Koloa, HI and can be reached out via phone at 808-742-7512 and via fax at 808-742-7070.

Location: 5330 Koloa Rd Ste 2, Koloa, HI, 96766-6753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053899955
Provider Name
Iaomai 4 Llc
Credential
Provider Entity Type
Organization
Address
5330 Koloa Rd Ste 2, Koloa, HI, 96766-6753
Phone Number
808-742-7512
Fax Number
808-742-7070
Provider Enumeration Date
08/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
688294 05 HI
PHY-806 01 HI PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
5330 Koloa Rd Ste 2
City
Koloa
State
Hawaii
Zip
96756-8624
Phone Number
808-742-7512
Fax Number
808-742-7070
person
Provider Business Mailing Address Details
Address
5330 Koloa Rd Ste 2
City
Koloa
State
Hawaii
Zip
96756-8624
Phone Number
808-742-7512
Fax Number
808-742-7070
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PHY-806 (Hawaii)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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