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5 MINUTE PHARMACY KKV LLC
FP968194 KOKUA KALIHI VALLEY
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Covered Entity Details
Entity Name
KOKUA KALIHI VALLEY
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP968194
Entity Address
2239 NORTH SCHOOL ST
HONOLULU, HI 96819
Grant Number
FPHPA090326
Participating Start Date
1/1/1998
Last Recertification Date
5/13/2022
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
5 MINUTE PHARMACY KKV LLC
Pharmacy Address
2229 N. SCHOOL STREET, STE 101
HONOLULU, HI 96819-9681
Pharmacy Comments
Contract Details
Approval Date
4/4/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/15/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Laura DeVilbiss, Medical Director
(808) 791-9418
Contract Pharmacy Representative
Derek Tengan, Owner
(808) 677-5550
Signed By Date
4/4/2016
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