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MINA PHARMACY LTC LLC NPI 1255453676


NPI Information

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.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyPHY-693HAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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