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WALGREEN OF HAWAII, LLC.
NH96793 Hui No Ke Ola Pono
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Covered Entity Details
Entity Name
Hui No Ke Ola Pono
Subdivision Name
Type
Native Hawaiian Health Care Program
340B ID
NH96793
Entity Address
95 Mahalani Street, Room 21
Wailuku, HI 96793
Grant Number
H1CCS00014
Participating Start Date
7/1/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN OF HAWAII, LLC.
Pharmacy Address
WALGREENS #15115
700 WAIALE RD
WAILUKU, HI 96793
Pharmacy Comments
Contract Details
Approval Date
7/10/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Malia Purdy, Executive Director
(808) 442-6813
Contract Pharmacy Representative
Walgreens
Silvia Barahona, Analyst
(847) 315-1177
Signed By Date
7/10/2023
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