| NPI | 1073882387 |
|---|---|
| Doing Business As | MINA PHARMACY #16 |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MOSER Director Of Pharmacy 808-738-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: HI 804) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |