# BRABU PHARMACY AND WELLNESS CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962048397
- **Legal business name:** BRABU PHARMACY AND WELLNESS CENTER LLC
- **Authorized official:** THEODORE ROBERT PARKER R.PH., MPH (MANAGING PARTNER/CO-OWNER)
- **Authorized official phone:** (670) 233-2668

## Contact information

- **Practice address:** KAGMAN III, RT 34, KAGMAN COMMERCIAL CENTER SUITE 3, SAIPAN, MP 96950-8903
- **Practice address phone:** (670) 256-2668
- **Practice address fax:** (670) 233-2670
- **Mailing address:** PO BOX 10003, SAIPAN, MP 96950-8903
- **Mailing address phone:** (670) 233-2668
- **Mailing address fax:** (670) 233-2670

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2019
- **Last updated:** 08/23/2024