NPI: 1255453676
Provider Name: MINA PHARMACY LTC, LLC
Doing Business As: MINA PHARMACY #7, LTC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization
Specialization: Long Term Care Pharmacy
Address:
4510 SALT LAKE BLVD
#B7-A
HONOLULU, HI
ZIP 96818
Phone: (808) 488-7500
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MINA PHARMACY LTC, LLC is a long term care pharmacy pharmacy in Honolulu, HI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MINA PHARMACY LTC, LLC NPI is 1255453676. The provider is registered as an organization entity type.
The provider Is Doing Business As Mina Pharmacy #7, Ltc.
The provider's business location address is:
4510 SALT LAKE BLVD
#B7-A
HONOLULU, HI
ZIP 96818-171
Phone: (808) 488-7500
Fax: (808) 488-7505
The provider's authorized official is Adel Etinas .
The authorized official title is President and has the following contact phone number (808) 738-4540.
The enumeration date for this NPI number is 4/5/2007 and was last updated on 9/8/2011.