Organization
MINA PHARMACY LLC
Active
Organization
MINA PHARMACY LLC
Active
Other names
Mina Pharmacy # 15
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEL ETINAS RPH (PRESIDENT,CEO)
(808) 222-9252
Entity
Organization
Contact information
Practice address
3375 KOAPAKA ST, SUITE F245, HONOLULU, HI 96819-1800
(808) 222-9252
(808) 356-3392
Mailing address
275 W KAAHUMANU AVE, SUITE# 1C01A, KAHULUI, HI 96732-1629
(808) 856-3070
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PHY-813
HI
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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