<Unavail>

LBN: Mina Pharmacy Ltc, Llc
<Unavail> is an health care organization with primary practice located at 1251 Kilauea Ave #190C-1, Hilo HI 96720-8509. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Mina Pharmacy Ltc, Llc can be contacted via phone (808) 935-3100, or through Etinas, Adel via phone (808) 738-4540.

Contact Information

Primary practice address
1251 Kilauea Ave #190C-1 Hilo HI 96720-8509
Phone: (808) 935-3100
Fax: (808) 935-6800
Website:
Map and Directions
Authorized official contact:
Name: Etinas, Adel
Phone: (808) 738-4540

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X PHY707 Hawaii

Profile Details

NPI number 1770750911
LBN Legal business name Mina Pharmacy Ltc, Llc
DBA Doing business as <Unavail>
Authorized official Etinas, Adel
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2008
Last updated Sep 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770750911 NPPES
Other 1240124 NCPDP PROVIDER IDENTIFICATION NUMBER

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