Whalio Doctors

NPI 1518003136

Mariano Prime Limited Liability

Organisation Community/Retail Pharmacy Dededo, GU

Practice location

Address
330 W Marine Corps Dr, Dededo, GU 96929-5924
Phone
(671) 632-3385
Fax
(671) 623-3528
Mailing address
255 Farenholt Ave, Tamuning, GU 96913-3209

Authorised official

Name
Arthur Mariano
Title
Owner
Phone
(671) 646-0020

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PCY040 (GU)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1518003136
Entity type
Organization
NPI issued
30 Jan 2007
Record last updated
21 Feb 2017

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.