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PUNA PLANTATION HAWAII
CH0924640 WEST HAWAII COMMUNITY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
WEST HAWAII COMMUNITY HEALTH CENTER, INC
Subdivision Name
WHCHC - ADMINISTRATION
Type
HRSA-Funded Health Center
340B ID
CH0924640
Entity Address
75-5751 KUAKINI HWY
STE 203
KAILUA KONA, HI 96740
Grant Number
H80CS06640
Participating Start Date
4/1/2006
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
PUNA PLANTATION HAWAII
Pharmacy Address
DBA KTA KEAUHOU PHARMACY
78-6831 ALII DR STE 101
KTA KEAUHOU PHARMACY
KAILUA KONA, HI 96740-2440
Pharmacy Comments
Contract Details
Approval Date
7/7/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RICHARD J. TAAFFE, CEO
(808) 326-3878
Contract Pharmacy Representative
KTA Superstores
kerri okamura, director of pharmacy operations
(808) 959-4575 Ext: 3349
Signed By Date
7/7/2020
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