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Contact Information

MINA PHARMACY LTC LLC
275 W KAAHUMANU AVE STE 1C01A
KAHULUI, HI96732-1629
 Phone: 808-856-8030
 Fax: 808-442-9634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MINA PHARMACY LTC LLC

NPI # 1922366079
LBN Legal business name MINA PHARMACY LTC LLC
Authorized official TIMOTHY MOSER - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2012
Last updated 04/26/2012 - About 14 years ago
Identifiers
HI License # PHY-812
Other 1240833 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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