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CH093410 KOKUA KALIHI VALLEY COMPREHENSVIE FAMILY SERVICES (Active)
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Main Details
Name
KOKUA KALIHI VALLEY COMPREHENSVIE FAMILY SERVICES
Subdivision Name
KOKUA KALIHI VALLEY MAIN CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004618
340B ID
CH093410
Grant Number
H80CS00776
Additional Details
Current Program Status
Active
Registration Date
7/1/1995
Participating Start Date
7/1/1995
Participating Approval Date
1/24/2005
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Kokua Kalihi Valley
DAVID DERAUF, Executive Director
(808) 791-9415
Primary Contact
Kokua Kalihi Valley Comprehensive Family Center dba Kokua Pharmacy
Brandy Shima, Pharmacist
(808) 791-9480
Addresses
Street Address
2239 North School Street
HONOLULU, HI 96819
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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