NPI 1235879909

Geraldine D.A. Mariano, RPH

Practitioner Pharmacist Dededo, GU

Practice location

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

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH0136 (GU)

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Registry record

NPI: 1235879909
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2022
Record last updated: 31 Mar 2022

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.