Healthcare Provider Details

I. General information

NPI: 1265624720
Provider Name (Legal Business Name): ANTHONY EDWARD RAHO RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2ND FLOOR TSL PLAZA, GARAPAN
SAIPAN MP
96950
US

IV. Provider business mailing address

P.O. BOX 500118
SAIPAN MP
96950
US

V. Phone/Fax

Practice location:
  • Phone: 670-234-6584
  • Fax: 670-234-3742
Mailing address:
  • Phone: 670-234-6584
  • Fax: 670-234-3742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0032
License Number StateMP
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0031
License Number StateMP

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: