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EAST HAWAII HEALTH PHARMACY
CAH121301-00 KAU HOSPITAL
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Covered Entity Details
Entity Name
KAU HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH121301-00
Entity Address
1 KAMANI STREET
PAHALA, HI 96777
Medicare Provider Number
121301
Participating Start Date
4/1/2021
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
EAST HAWAII HEALTH PHARMACY
Pharmacy Address
1190 WAIANUENUE AVE STE 122
HILO, HI 96720
Pharmacy Comments
Contract Details
Approval Date
1/11/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dan Brinkman, CEO
(808) 932-3101
Contract Pharmacy Representative
East Hawaii Health Pharmacy
Jenna Mieko Yamashita, Pharmacy Manager
(808) 932-3770
Signed By Date
1/11/2023
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