Organization
MINA PHARMACY LTC, LLC
Active
Other names
Mina Pharmacy#5 LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEL ETINAS RPH (PRESIDENT)
(808) 738-4540
Entity
Organization
Contact information
Practice address
75-5995 KUAKINI HWY, #513A, KAILUA KONA, HI 96740-2124
(808) 329-1000
(808) 329-1005
Mailing address
3375 KOAPAKA STREET,, SUITE F245, HONOLULU, HI 96819-1816
(808) 738-4540
(808) 690-9174
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY-686
HI
Other
Enumeration date
01/12/2007
Last updated
11/29/2011
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