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MAUI PHARMACY SOLUTIONS LLC
CH098550 HANA HEALTH
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Covered Entity Details
Entity Name
HANA HEALTH
Subdivision Name
HANA COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH098550
Entity Address
4590 HANA HIGHWAY
HANA, HI 96713-0807
Grant Number
H80CS00290
Participating Start Date
4/1/2003
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
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CHERYL VASCONCELLOS, CEO
(808) 888-5796
Contract Pharmacy Representative
Mauliola Pharmacy
Cory Lehano, Pharmacist, Owner
(808) 446-3348
Signed By Date
4/15/2025
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