Organization
MINA CORPORATION
Active
Other names
Mina Pharmacy #17
Organization subpart
No
Provider details
NPI number
Authorized official
ADEL ETINAS (CEO)
(808) 738-4540
Entity
Organization
Contact information
Practice address
440 KILANI AVE, WAHIAWA, HI 96786-1837
(808) 533-9020
(808) 690-9189
Mailing address
3375 KOAPAKA ST STE F245, HONOLULU, HI 96819-1881
(808) 738-4540
(808) 690-9174
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY814
HI
Other
Enumeration date
06/04/2012
Last updated
01/13/2015
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