Provider Demographics
NPI:1073606224
Name:IAOMAI 2 LLC
Entity Type:Organization
Organization Name:IAOMAI 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAPIT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:808-639-1891
Mailing Address - Street 1:PO BOX 3753
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-6753
Mailing Address - Country:US
Mailing Address - Phone:808-245-2471
Mailing Address - Fax:808-212-1716
Practice Address - Street 1:4-484 KUHIO HWY STE 106
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1470
Practice Address - Country:US
Practice Address - Phone:808-245-2471
Practice Address - Fax:808-213-7296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI58659701Medicaid
7467840001Medicare NSC