| NPI | 1770750911 |
|---|---|
| Doing Business As | MINA PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | ADEL ETINAS President 808-738-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: HI PHY707) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2011-09-08 |