Organization
ELEMENT 1B
Active
Other names
Simply RX 2
Organization subpart
No
Provider details
NPI number
Authorized official
JAZZEDYPAUL CAMPOS (OWNER)
(671) 864-4357
Entity
Organization
Contact information
Practice address
543 GUMA YUOS STREET, TAMUNING, GU 96913
(671) 864-4357
Mailing address
543 GUMA YUOS STREET, TAMUNING, GU 96913
(671) 864-4357
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
07/19/2023
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