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Organization

PAYLESS MARKETS INC

Active
Other names
SUPERDRUG OKA
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BENITO RPH (GEN MGR)
(671) 477-9266
Entity
Organization

Contact information

Practice address
275 FARENHOLT AVE STE 208, TAMUNING, GU 96913-3217
(671) 646-6183
(671) 649-2724
Mailing address
275 FARENHOLT AVE STE 208, TAMUNING, GU 96913-3217

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PCY034
GU

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2112066
PK
Enumeration date
08/31/2006
Last updated
02/10/2025
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