NPI 1336637180

David Nicholas Whitehead, PHARMACIST

Practitioner Pharmacist Dededo, GU

Practice location

Address: 612 W Marine Corps Dr STE 8, Dededo, GU 96929-5629
Phone: (671) 637-3323
Fax: (671) 637-3316
Mailing address: PO Box 10966, Tamuning, GU 96931-0966

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH0117 (GU)

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Registry record

NPI: 1336637180
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Apr 2018
Record last updated: 27 Apr 2018

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.