NPI 1235772369

Leonila Carbon, PHARMACIST

Practitioner Pharmacist Dededo, GU

Practice location

Address: 199 E Buena Vista Ave, Dededo, GU 96929-5373
Phone: (671) 637-9683
Fax: (671) 637-3408

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PHO18 (GU)

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Registry record

NPI: 1235772369
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2019
Record last updated: 22 Oct 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.