| NPI | 1922366079 |
|---|---|
| Doing Business As | MINA PHARMACY #14 |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MOSER Director Of Pharmacy 808-738-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: HI PHY-812) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |