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CH09129C HO OLA LAHUI HAWAII (Active)
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Main Details
Name
HO OLA LAHUI HAWAII
Subdivision Name
KAUAI COMMUNITY HEALTH CENTER - EAST
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004848
340B ID
CH09129C
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
4800 D KAWAIHAU ROAD
KAPAA, HI 96746
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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NEW SITE 04/01/2004
08/12/2005
May 2025
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