Whalio Doctors

NPI 1407407737

Mariano Prime LLC

Organisation Clinic Pharmacy Tamuning, GU

Practice location

Address
548 S Marine Corps Dr, Tamuning, GU 96913-3539
Phone
(671) 969-5900
Fax
(671) 969-2800
Mailing address
255 Farenholt Ave, Tamuning, GU 96913-3209

Authorised official

Name
Arthur Surla Mariano
Title
President
Phone
(671) 646-5355

Registered specialties

Clinic Pharmacy Primary
Suppliers Taxonomy 3336C0002X

Registry record

NPI
1407407737
Entity type
Organization
NPI issued
27 Sep 2019
Record last updated
27 Sep 2019

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.