National Provider Identifier Database

MINA PHARMACY LTC LLC
Long Term Care Pharmacy

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.


Contact Information

MINA PHARMACY LTC, LLC
4510 SALT LAKE BLVD
#B7-A
HONOLULU, HI96818-3171
Phone: 808-488-7500
Fax: 808-488-7505
Website:
Specialty Taxonomy Code
* Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for MINA PHARMACY LTC, LLC

NPI Number 1255453676
Legal business name
LBN
MINA PHARMACY LTC, LLC
Authorized official ADEL ETINAS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/05/2007
Last updated 09/08/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • HI License #: PHY-693

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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