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CH09341C KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES (Active)
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Main Details
Name
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
Subdivision Name
KKV Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002577
340B ID
CH09341C
Grant Number
H80CS00776
Additional Details
Current Program Status
Active
Registration Date
7/1/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/23/2014
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
2229 N School St
Honolulu, HI 96819-2588
Billing Address
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
2239 NORTH SCHOOL STREET
HONOLULU, HI 96819
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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