Provider Demographics
NPI:1295372613
Name:FOODLAND SUPER MARKET LIMITED
Entity Type:Organization
Organization Name:FOODLAND SUPER MARKET LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE PHARMACY COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:KAPUA
Authorized Official - Last Name:HALEMANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-735-7209
Mailing Address - Street 1:108 HEKILI ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2848
Mailing Address - Country:US
Mailing Address - Phone:808-261-7329
Mailing Address - Fax:
Practice Address - Street 1:108 HEKILI ST
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2848
Practice Address - Country:US
Practice Address - Phone:808-261-7329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy