# BRABU PHARMACY AND WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRABU PHARMACY AND WELLNESS CENTER, LLC
- **Other names:** Brabu Pharmacy Dandan
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821749987
- **Legal business name:** BRABU PHARMACY AND WELLNESS CENTER, LLC
- **Authorized official:** THEODORE ROBERT PARKER (MANAGING PARTNER)
- **Authorized official phone:** (670) 233-2668

## Contact information

- **Practice address:** RJ COMMERCIAL CENTER ROUTE 31 DANDAN, SAIPAN, MP 96950
- **Practice address phone:** (670) 235-2668
- **Practice address fax:** (670) 322-4898
- **Mailing address:** P.O. BOX 10003 PMB 761, SAIPAN, MP 96950-8903
- **Mailing address phone:** (670) 235-2668
- **Mailing address fax:** (670) 322-4898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2022
- **Last updated:** 08/20/2024