| NPI | 1548579725 |
|---|---|
| Doing Business As | MINA PHARMACY # 11 |
| Entity Type | Organization |
| Authorized Contact | ADEL ETINAS President,CEO 808-738-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: HI PHY787) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2015-01-13 |