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HAWAII PACIFIC HEALTH SPECIALTY PHARMACY
HM96826 Kapiolani Medical Center for Women and Children
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Covered Entity Details
Entity Name
Kapiolani Medical Center for Women and Children
Subdivision Name
Hemophilia and Thrombosis Treatment Center of Hawaii
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM96826
Entity Address
1319 Punahou Street
Honolulu, HI 96826
Grant Number
H30MC24045
Participating Start Date
10/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HAWAII PACIFIC HEALTH SPECIALTY PHARMACY
Pharmacy Address
3375 KOAPAKA STREET
STE H400
HONOLULU, HI 96819
Pharmacy Comments
Contract Details
Approval Date
7/10/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gidget Ruscetta, Chief Operating Officer
(808) 983-6240
Contract Pharmacy Representative
Hawaii Pacific Health
Shannon Terayama, Director, Outpatient & Ambulatory Pharmacy Services
(808) 404-8259
Signed By Date
7/10/2023
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