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MOLOKAI DRUGS INC
CH093157A LANA'I COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
LANA'I COMMUNITY HEALTH CENTER
Subdivision Name
Lanai Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH093157A
Entity Address
333 Sixth Street
Lanai CIty, HI 96763-0142
Grant Number
H80CS08775
Participating Start Date
7/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MOLOKAI DRUGS INC
Pharmacy Address
28 KAMOI ST., #100
KAUNAKAKAI, HI 96748-0558
Pharmacy Comments
Contract Details
Approval Date
7/5/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/29/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DIANA MV SHAW, EXECUTIVE DIRECTOR
(808) 565-6919 Ext: 114
Contract Pharmacy Representative
Kelly Go, Pharmacist
(808) 553-5790
Signed By Date
7/5/2016
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