# MINA CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mina Pharmacy \# 11
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548579725
- **Authorized official:** ADEL ETINAS (PRESIDENT,CEO)
- **Authorized official phone:** (808) 738-4540

## Contact information

- **Practice address:** 1401 S BERETANIA ST STE 110, HONOLULU, HI 96814-1871
- **Practice address phone:** (808) 955-6800
- **Practice address fax:** (808) 955-6877
- **Mailing address:** 3375 KOAPAKA ST, F245, HONOLULU, HI 96819-1800
- **Mailing address phone:** (808) 738-4540
- **Mailing address fax:** (808) 690-9174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY787 | HI | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/05/2010
- **Last updated:** 01/13/2015