Organization
MARIANO PRIME LIMITED LIABILITY
Active
Other names
MEGA DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR MARIANO (OWNER)
(671) 646-0020
Entity
Organization
Contact information
Practice address
255 FARENHOLT AVE, TAMUNING, GU 96913-3209
(671) 646-5355
(671) 646-5333
Mailing address
255 FARENHOLT AVE, TAMUNING, GU 96913-3209
(671) 646-5355
(671) 646-5333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY035
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112123
PK
—
05
—
650
—
GU
Enumeration date
01/30/2007
Last updated
09/12/2016
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