Organization
MINA CORPORATION
Active
Other names
Mina Pharmacy #12
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEL ETINAS (PRESIDENT)
(808) 738-4540
Entity
Organization
Contact information
Practice address
98-020 KAM HWY #2E, AIEA, HI 96701-5159
(808) 275-4400
(808) 484-2600
Mailing address
3375 KOAPAKA STREET, SUITE F245, HONOLULU, HI 96819-1816
(808) 738-4540
(808) 690-9174
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY800
HI
Other
Enumeration date
05/11/2011
Last updated
01/13/2015
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