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CH09129D HO OLA LAHUI HAWAII (Active)
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Main Details
Name
HO OLA LAHUI HAWAII
Subdivision Name
KAUAI COMMUNITY HEALTH CENTER - WEST
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001356
340B ID
CH09129D
Grant Number
H80CS00852
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
3/5/2004
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Hoola Lahui Hawaii
DAVID PETERS, CEO
(808) 240-0100 Ext: 113
Primary Contact
Hoola Lahui Hawaii
GARRETT LAU, PHARMACIST
(808) 240-0199
Addresses
Street Address
4643B WAIMEA CANYON DRIVE
WAIMEA, HI 96796
Billing Address
HO OLA LAHUI HAWAII
PO BOX 3990
LIHUE, HI 96766
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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