# BRABU PHARMACY AND WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brabu Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124269378
- **Authorized official:** THEODORE PARKER R.PH., MPH (OWNER)
- **Authorized official phone:** (670) 233-2668

## Contact information

- **Practice address:** 101 AKARI BLDG CH PALE ARNOLD RD, SAIPAN, MP 96950
- **Practice address phone:** (670) 233-2668
- **Practice address fax:** (670) 233-2670
- **Mailing address:** PO BOX 10003, PMB 761, SAIPAN, MP 96950-8903
- **Mailing address phone:** (670) 233-2668
- **Mailing address fax:** (670) 233-2670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP-005 | MP | Yes |

## Other

- **Enumeration date:** 03/18/2009
- **Last updated:** 08/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2119463 | PK | — |