| NPI | 1295837946 |
|---|---|
| Doing Business As | MINA PHARMACY #4 |
| Entity Type | Organization |
| Authorized Contact | ADEL ETINAS President 808-738-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: HI PHY-645) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-10-03 |