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5 MINUTE PHARMACY KALIHI LLC
RWII96813 Life Foundation
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Covered Entity Details
Entity Name
Life Foundation
Subdivision Name
Type
Ryan White Part B
340B ID
RWII96813
Entity Address
677 Ala Moana Blvd, Ste 226
Honolulu, HI 96813
Grant Number
X07HA00050
Participating Start Date
10/1/2014
Last Recertification Date
1/26/2017
Entity Termination Date
4/1/2018
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
10/16/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paul Groesbeck, Executive Director
(808) 853-3234
Contract Pharmacy Representative
5 minute pharmacy
Derek Tengan, Owner
(808) 630-8388
Signed By Date
10/16/2014
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