| NPI | 1275894594 |
|---|---|
| Doing Business As | MINA PHARMACY #17 |
| Entity Type | Organization |
| Authorized Contact | ADEL ETINAS CEO 808-738-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: HI PHY814) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2015-01-13 |