Foodland Lab #32

NPI #1528458049 in Laie, Hawaii

Provider Information

NPI Number
1528458049
Entity Type
Organization
Organization Name
Foodland Lab #32
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
55-510 KAMEHAMEHA HWY
City
Laie
State
Hawaii
ZIP Code
96762-1138
Phone
(808) 293-9919

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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