NPI 1518003136
Mariano Prime Limited Liability
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
Pharmacy
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.