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This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Point of Service |
305S00000X |
| NPI Number | 1659760734 |
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| LBN Legal business name | MINA PHARMACY LLC | ||||
| Authorized official | ADEL ETINAS - (PRESIDENT,CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/13/2015 | ||||
| Last updated | 01/13/2015 - About 11 years ago | ||||
| Identifiers |
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MINA PHARMACY LLC
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| JAMES L BIBB, PHD LLC 45-020A MALULANI STREET KANEOHE, HI |
| NCL 85-175 FARRINGTON HWY WAIANAE, HI |
| MAUI PHARMACY SOLUTIONS LLC 95 MAHALANI ST RM 10 WAILUKU, HI |
| GABRIELA ORTIZ-OMPHROY MD LLC 98-1079 MOANALUA RD STE 680 AIEA, HI |
| SUSAN J LICOAN, PSYD 39 3301 MILO PLACE ‘O‘OKALA, HI |
| KATHERINE D PERCY, DO 1 JARRETT WHITE ROAD 1 JARRETT WHITE ROAD, HI |
| ANDREA CLAUDINE F AFABLE, M.D. UNIVERSITY OF HAWAII FAMILY MEDICINE RESIDENCY PROGRAM AEIA, HI |
| STEPHANIE KRYSTEL D CANICULA, M.D. 98-1005 MOANALUA ROAD AEIA, HI |
MINA PHARMACY LLC