Organization
GNN CORPORATION
Active
Other names
HARMON DRUGS STORE
Organization subpart
No
Provider details
NPI number
Authorized official
ADELA CARLOS B.S. PHARMACY (PHARMACIST-ON-DUTY)
(671) 637-1473
Entity
Organization
Contact information
Practice address
2226 ARMY DR, STE A, DEDEDO, GU 96929-6577
(671) 637-1473
(671) 637-1475
Mailing address
PO BOX 8682, TAMUNING, GU 96931-8682
(671) 637-1473
(671) 637-1475
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY008
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5410484
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
634
—
GU
Enumeration date
11/15/2006
Last updated
07/11/2011
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