# MINA CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mina Pharmacy \#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811318926
- **Authorized official:** ADEL ETINAS (PRESIDENT,CEO)
- **Authorized official phone:** (808) 222-9252

## Contact information

- **Practice address:** 599 FARRINGTON HWY STE 101, KAPOLEI, HI 96707-2028
- **Practice address phone:** (808) 674-4477
- **Practice address fax:** (808) 674-9305
- **Mailing address:** 33 75 KOAPAKA ST, F245, HONOLULU, HI 96819
- **Mailing address phone:** (808) 738-4540
- **Mailing address fax:** (808) 222-9252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 605 | HI | Yes |

## Other

- **Enumeration date:** 12/17/2013
- **Last updated:** 12/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2143016 | PK | — |
