Whalio Doctors

NPI 1255680914

Mariano Prime Limited Liability

Organisation Community/Retail Pharmacy Dededo, GU

Practice location

Address
2042 Army Dr, Dededo, GU 96929-6516
Phone
(671) 646-5355
Fax
(671) 646-5333

Authorised official

Name
Arthur Mariano
Title
R.Ph. / President
Phone
(671) 646-5355

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PCY055 (GU)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1255680914
Entity type
Organization
NPI issued
10 Sep 2012
Record last updated
11 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.