Organization
FARMACIA DE MARIANAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA LUZ BALUYOT GUZMAN REGISTERED PHARMACIS (OWNER MANAGER)
(671) 646-9696
Entity
Organization
Contact information
Practice address
543 CHALAN GUMAYUOS, TAMUNING, GU 96913
(671) 646-9696
(671) 649-6601
Mailing address
PO BOX 8718, TAMUNING, GU 96932
(671) 646-9696
(671) 649-6601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PCY004
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5410713
NCPDP NABP
—
Enumeration date
05/03/2007
Last updated
07/06/2009
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