| NPI | 1114301082 |
|---|---|
| Doing Business As | MINA COMPOUNDING PHARMACY #4 |
| Entity Type | Organization |
| Authorized Contact | ADEL ETINAS President,CEO 808-222-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: HI PHY-888) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |