Last Updated: 12/5/2025 5:24:46 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
KOAHA PLACE LLC |
|
Business (DBA) Name |
PACIFIC ISLAND HEALTH |
|
License Number |
99-913 |
|
Type of Pharmacy |
Non-Resident |
|
Address |
2295 N KING ST, STE 35 |
|
City, State, Zip |
HONOLULU,
HI 96819-4505 |
|
Country |
|
|
Issue Date |
10/20/2004 |
|
Renewed Date |
10/20/2004 |
|
Expiration Date |
06/30/2005 |
|
End Date |
04/01/2005 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
LOVENA K. SATO - 0 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|