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5 MINUTE PHARMACY KALIHI LLC
CH09341C KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
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Covered Entity Details
Entity Name
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
Subdivision Name
KKV Wellness Center
Type
HRSA-Funded Health Center
340B ID
CH09341C
Entity Address
2229 N School St
Honolulu, HI 96819-2588
Grant Number
H80CS00776
Participating Start Date
10/1/2014
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
5 MINUTE PHARMACY KALIHI LLC
Pharmacy Address
916 GULICK AVE
SUITE #A
HONOLULU, HI 96819
Pharmacy Comments
Contract Details
Approval Date
7/2/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/24/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
DAVID DERAUF, Executive Director
(808) 791-9415
Contract Pharmacy Representative
5 minute pharmacy
Derek Tengan, Owner
(808) 630-8388
Signed By Date
7/2/2015
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