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General NPI Number Information
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NPI Number | 1609599216
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Entity Type | Organization
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Legal Business Name | MARIANAS PHARMACY LLC
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | TOWNHOUSE SHOPPING CENTER. BEACH ROAD, CHALAN KANOA
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City | SAIPAN
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State | MP
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Zip | 96950
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Country | US
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Telephone | 670-488-8324
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10018 PMB 57
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City | SAIPAN
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State | MP
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Zip | 96950
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Country | US
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Telephone | 670-488-8324
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Fax |
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Authorized Official
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Title or Position | PARTNER & MANAGING DIRECTOR
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Name | MR. PERRY ATALIG INOS JR.
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Credential |
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Telephone | 670-483-7802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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