Contract Pharmacy Details

QUINN SUPERS INC
NH5740 KE OLA MAMO

Covered Entity Details

Entity Name

KE OLA MAMO

Subdivision Name

Type

Native Hawaiian Health Care Program

340B ID

NH5740

Entity Address

680 IWILEI ROAD, SUITE 500
HONOLULU, HI 96817

Grant Number

H1CCS00016

Participating Start Date

1/1/2005

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

QUINN SUPERS INC

Pharmacy Address

DBA: TIMES PHARMACY #11
1425 LILIHA ST
HONOLULU, HI 96817-3522

Pharmacy Comments

Contract Details

Approval Date

6/7/2005

Contract Begin Date

6/7/2005

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

JOELENE K. LONO, EXECUTIVE DIRECTOR
(808) 848-8000

Contract Pharmacy Representative

William Nitz, District Operations Manager
(808) 295-5482

Signed By Date

6/1/2005

340B Drug Pricing Program Database