Organization
MINA CORPORATION
Active
Other names
MINA PHARMACY #2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEL ETINAS R.PH. (PRESIDENT)
(808) 738-4540
Entity
Organization
Contact information
Practice address
599 FARRINGTON HWY, #101, KAPOLEI, HI 96707-2028
(808) 674-4477
(808) 674-9315
Mailing address
3375 KOAPAKA STREET,, SUITE F245, HONOLULU, HI 96819-1816
(808) 738-4540
(808) 690-9174
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PHY-605
HI
Other
Enumeration date
09/02/2006
Last updated
10/03/2013
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