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WAL-MART PHARMACY 10-2473
NH5022A Hui Malama Ola Na Oiwi
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Covered Entity Details
Entity Name
Hui Malama Ola Na Oiwi
Subdivision Name
Family Medicine Clinic
Type
Native Hawaiian Health Care Program
340B ID
NH5022A
Entity Address
82 Puuhonu Place
STE 209
Hilo, HI 96720
Grant Number
H1CCS00013
Participating Start Date
4/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2473
Pharmacy Address
325 MAKAALA STREET
HILO, HI 96720
Pharmacy Comments
Contract Details
Approval Date
4/22/2021
Contract Begin Date
4/23/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kamuela Liwaimu Bannister, Executive Director
(808) 969-9220
Contract Pharmacy Representative
PharmaForce
Justin Ross Rolling, Sales Executive
(205) 777-8521
Signed By Date
4/22/2021
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