Organization
MARIANO PRIME LIMITED LIABILITY
Active
Organization
MARIANO PRIME LIMITED LIABILITY
Active
Other names
MEGA DRUG II
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR MARIANO (OWNER)
(671) 646-0020
Entity
Organization
Contact information
Practice address
330 W MARINE CORPS DR, DEDEDO, GU 96929-5924
(671) 632-3385
(671) 623-3528
Mailing address
255 FARENHOLT AVE, TAMUNING, GU 96913-3209
(671) 632-3385
(671) 623-3528
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY040
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112124
PK
—
05
—
655
—
GU
Enumeration date
01/30/2007
Last updated
02/21/2017
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