| NPI | 1114029865 |
|---|---|
| Doing Business As | MINA PHARMACY #3 |
| Entity Type | Organization |
| Authorized Contact | ADEL ETINAS CEO 808-222-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: HI PHY-644) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-02-13 |