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MAUI PHARMACY SOLUTIONS LLC
CH0912120 Molokai Ohana Health Care, Inc
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Covered Entity Details
Entity Name
Molokai Ohana Health Care, Inc
Subdivision Name
Molokai Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH0912120
Entity Address
30 Oki Place
Kaunakakai, HI 96748
Grant Number
H80CS02449
Participating Start Date
1/1/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MAUI PHARMACY SOLUTIONS LLC
Pharmacy Address
95 MAHALANI ST RM 28-5
WAILUKU, HI 96793
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shanna Willing, CFOO
(808) 660-2608
Contract Pharmacy Representative
Maui Pharmacy Solutions
Cory Lehano, Owner
(808) 446-3348
Signed By Date
1/14/2025
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