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Organization

MARIANO PRIME LLC

Active
Other names
Mega Drug III
Organization subpart
No

Provider details

NPI number
Authorized official
ARTHUR SURLA MARIANO (PRESIDENT)
(671) 646-5355
Entity
Organization

Contact information

Practice address
548 S MARINE CORPS DR, TAMUNING, GU 96913-3539
(671) 969-5600
(671) 969-2800
Mailing address
255 FARENHOLT AVE, TAMUNING, GU 96913-3209
(671) 646-5355
(671) 646-5333

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary

Other

Enumeration date
09/11/2019
Last updated
09/11/2019
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