Over many visits to Kauai in the last decade, we have consistently gone to Fish Express to get fresh fish to cook on the barbecue. They consistently have the largest variety and freshest/highest quality fish on the Island -- you'll almost always be able to get very fresh ahi and mahi mahi. When conditions are good (i.e., not too windy), they also get the pick of the catch from local fisherman as well (opakapaka or pink snapper is a great treat when they have it). They also have a good variety of pokes and specially prepared sashimi block ahi.
In addition to the fresh fish they sell, they have takeout lunch service -- mostly fresh fish options -- that is consistently outstanding.
Their location is not on the main traffic flow (across from Walmarts in Lihue) -- and they could use a marketing consultant to come up with a better name -- but it is definitely worth going to for the best fish on the Island.
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