Organization
MARIANO PRIME LIMITED LIABILITY
Active
Other names
MEGA DRUG III
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR MARIANO (R.PH. / PRESIDENT)
(671) 646-5355
Entity
Organization
Contact information
Practice address
2042 ARMY DR, DEDEDO, GU 96929-6516
(671) 646-5355
(671) 646-5333
Mailing address
2042 ARMY DR, DEDEDO, GU 96929-6516
(671) 646-5355
(671) 646-5333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY055
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136841
PK
—
Enumeration date
09/10/2012
Last updated
10/11/2013
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