Organization
MINA PHARMACY LTC, LLC
Active
Other names
mina pharmacy #8
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEL ETINAS R.PH. (PRESIDENT)
(808) 738-4540
Entity
Organization
Contact information
Practice address
1029 KAPAHULU AVE, 303, HONOLULU, HI 96816
(808) 488-7500
(808) 488-7505
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
PHY-694
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59426901
—
HI
Enumeration date
04/09/2007
Last updated
01/02/2015
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