| NPI | 1720370646 |
|---|---|
| Doing Business As | MINA PHARMACY #12 |
| Entity Type | Organization |
| Authorized Contact | ADEL ETINAS President 808-738-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: HI PHY800) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2015-01-13 |