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Organization
MINA PHARMACY LTC, LLC
Active
Organization
MINA PHARMACY LTC, LLC
Active
Other names
MINA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEL ETINAS (PRESIDENT)
(808) 738-4540
Entity
Organization
Contact information
Practice address
1251 KILAUEA AVE, #190C, HILO, HI 96720-8509
(808) 935-3100
(808) 935-6800
Mailing address
3375 KOAPAKA STREET, SUITE F245, HONOLULU, HI 96819-1816
(808) 738-4540
(808) 690-9174
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY706
HI
Other
Enumeration date
05/05/2008
Last updated
01/13/2015
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