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Foodland Lab #28

NPI #1285024794 in Kapaa, Hawaii

Provider Information

NPI Number
1285024794
Entity Type
Organization
Organization Name
Foodland Lab #28
Subpart
Yes (part of a larger organization)
Parent Organization
FOODLAND SUPERMARKET LTD,
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Feb 4, 2015
Last Updated
Feb 4, 2015

Practice Location

Address
4-771 KUHIO HWY STE 101
City
Kapaa
State
Hawaii
ZIP Code
96746-2719
Phone
(808) 821-6979

Authorized Official

Name
JACLYN MOORE, PHARM D
Title
LAB DIRECTOR
Phone
(808) 885-2075

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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