Organization
PACIFIC HEALTH INC
Active
Other names
PHI PHARMACY I
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA WISE PHARM.D. (GENERAL MANAGER)
(670) 323-5000
Entity
Organization
Contact information
Practice address
KAGMAN COMMERCIAL BUILDING, UNIT D, SAIPAN, MP 96950
(670) 235-6175
Mailing address
PO BOX 505089, SAIPAN, MP 96950-4314
(670) 323-5011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP001
MP
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3R007
—
MP
Enumeration date
03/16/2007
Last updated
12/12/2019
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