Organization
MINA PHARMACY LTC, LLC
Active
Other names
mina pharmacy #7, LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEL ETINAS R.PH. (PRESIDENT)
(808) 738-4540
Entity
Organization
Contact information
Practice address
4510 SALT LAKE BLVD, #B7-A, HONOLULU, HI 96818-3171
(808) 488-7500
(808) 488-7505
Mailing address
3375 KOAPAKA STREET, SUITE F245, HONOLULU, HI 96819-1816
(808) 738-4540
(808) 690-9174
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY-693
HI
Other
Enumeration date
04/05/2007
Last updated
09/08/2011
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