Organization
MINA CORPORATION
Active
Other names
Mina Pharmacy # 11
Organization subpart
No
Provider details
NPI number
Authorized official
ADEL ETINAS (PRESIDENT,CEO)
(808) 738-4540
Entity
Organization
Contact information
Practice address
1401 S BERETANIA ST STE 110, HONOLULU, HI 96814-1871
(808) 955-6800
(808) 955-6877
Mailing address
3375 KOAPAKA ST, F245, HONOLULU, HI 96819-1800
(808) 738-4540
(808) 690-9174
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY787
HI
3336S0011X
Specialty Pharmacy
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Other
Enumeration date
10/05/2010
Last updated
01/13/2015
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