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LIHUE PHARMACY INC
RWII96766 Malama Pono Health Services
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Covered Entity Details
Entity Name
Malama Pono Health Services
Subdivision Name
Type
Ryan White Part B
340B ID
RWII96766
Entity Address
4370 Kukui Grove Street
Suite 115
Lihue, HI 96766
Grant Number
X07HA00050
Participating Start Date
5/15/2024
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
LIHUE PHARMACY INC
Pharmacy Address
LIHUE PHARMACY INC
4491 KOLOPA ST # A
LIHUE, HI 96766-2021
Pharmacy Comments
Contract Details
Approval Date
1/9/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/23/2017
Agreement registered in error
Contacts
Covered Entity Signing Official
Mistee Bailey-Myrick, President & CEO
(808) 246-9577
Contract Pharmacy Representative
Lihue Professional Pharmacy
Kevin Glick, President
(808) 246-9100
Signed By Date
1/9/2017
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