| NPI | 1659760734 |
|---|---|
| Doing Business As | MINA PHARMACY # 15 |
| Entity Type | Organization |
| Authorized Contact | ADEL ETINAS President,CEO 808-222-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: HI Phy-813) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |