12D2199340 CLIA NUMBER - TIMES PHARMACY KAMEHAMEHA

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Laboratory Demographics

CLIA Number: 12D2199340

Facility Name: TIMES PHARMACY KAMEHAMEHA

Facility Address:
1620 NORTH SCHOOL STREET
HONOLULU, HI
ZIP 96817
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Facility Phone Number: 808 675-8755

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1417055443

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	12D2199340
LAB Type	Pharmacy
Facility Name	TIMES PHARMACY KAMEHAMEHA
Street	1620 NORTH SCHOOL STREET
City	HONOLULU
State	HI
ZIP	96817
Phone	808 675-8755
CertificateType	4
CertificateEffectiveDate	11/6/2022
CertificateExpirationDate	11/5/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024