Individual
PAUL DALMACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 HARMON LOOP RD STE 108, DEDEDO, GU 96929-6544
(671) 633-3684
(671) 633-3680
Mailing address
PO BOX 9644, TAMUNING, GU 96931-5644
(671) 633-3684
(671) 633-3680
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-075
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH075
LICENSE NUMBER
GU
Enumeration date
08/06/2019
Last updated
08/06/2019
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