Organization
BRABU PHARMACY AND WELLNESS CENTER LLC
Active
Other names
Brabu Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE PARKER R.PH., MPH (OWNER)
(670) 233-2668
Entity
Organization
Contact information
Practice address
101 AKARI BLDG CH PALE ARNOLD RD, SAIPAN, MP 96950
(670) 233-2668
(670) 233-2670
Mailing address
PO BOX 10003, PMB 761, SAIPAN, MP 96950-8903
(670) 233-2668
(670) 233-2670
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-005
MP
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119463
PK
—
Enumeration date
03/18/2009
Last updated
08/20/2024
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