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PROCARE PHARMACY, L.L.C.
CAH121304-00 KAHUKU MEDICAL CENTER
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Covered Entity Details
Entity Name
KAHUKU MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH121304-00
Entity Address
56-117 PUALALEA ST.
KAHUKU, HI 96731
Medicare Provider Number
121304
Participating Start Date
1/1/2018
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY OR CARELONRX SPECIALTY
ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULU, HI 96813
Pharmacy Comments
3/22/10 NAME CORRECTION (WAS CVS PROCARE PHARMACY DBA CVS PROCARE PHARMACY #2915) 3/17/10 ADDR CHANGE (WAS 970 N KALAHEO AVE, SUITE A 203)
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven Nawahine, Chief Executive Officer
(808) 293-6222
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/14/2025
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