Foodland Lab #24

NPI #1902297351 in Makawao, Hawaii

Provider Information

NPI Number
1902297351
Entity Type
Organization
Organization Name
Foodland Lab #24
Subpart
Yes (part of a larger organization)
Parent Organization
FOODLAND SUPERMARKET LTD.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Feb 6, 2015
Last Updated
Feb 6, 2015

Practice Location

Address
55 PUKALANI ST
State
Hawaii
ZIP Code
96768-8544
Phone
(808) 572-8266

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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