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QUEEN'S POB III PHARMACY
DSH120028 QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH120028
Entity Address
67-1125 MAMALAHOA HWY
KAMUELA, HI 96743
Medicare Provider Number
120028
Participating Start Date
10/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
QUEEN'S POB III PHARMACY
Pharmacy Address
550 S BERETANIA ST STE 102
HONOLULU, HI 96813
Pharmacy Comments
Contract Details
Approval Date
10/13/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephany Vaioleti, President
(808) 881-4402
Contract Pharmacy Representative
Queen's Development Corporation
Scott Whiting, President
(808) 691-1980
Signed By Date
10/13/2024
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