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CH09341A KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES (Active)
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Main Details
Name
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
Subdivision Name
Kokua Kalihi Valley Gulick Elder Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003578
340B ID
CH09341A
Grant Number
H80CS00776
Additional Details
Current Program Status
Active
Registration Date
2/24/2011
Participating Start Date
4/1/2011
Participating Approval Date
2/28/2011
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
1846 Gulick Ave
Honolulu, HI 96819-4212
Billing Address
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
2239 N SCHOOL STREET
HONOLULU, HI 96819
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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