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MINA CORPORATION NPI 1114301082


NPI Information

NPI: 1114301082
Provider Name: MINA CORPORATION

Doing Business As: MINA COMPOUNDING PHARMACY #4

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
1620 N SCHOOL ST
HONOLULU, HI
ZIP 96817
Phone: (808) 672-6760
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MINA CORPORATION is a compounding pharmacy pharmacy in Honolulu, HI. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. MINA CORPORATION NPI is 1114301082. The provider is registered as an organization entity type.
The provider Is Doing Business As Mina Compounding Pharmacy #4.

The provider's business location address is:

1620 N SCHOOL ST
HONOLULU, HI
ZIP 96817-844
Phone: (808) 672-6760
Fax: (808) 356-3392

The provider's authorized official is Adel Etinas .
The authorized official title is President,ceo and has the following contact phone number (808) 222-9252.

The enumeration date for this NPI number is 7/10/2015 and was last updated on 7/10/2015.


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
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyPHY-888HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12152881OTHERPK

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: 4/28/2024

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