1497889752

Everything you always wanted to know about PACIFIC HEALTH INC 3 PHI PHARMACY I WISE JOSHUA but were afraid to ask.

PACIFIC HEALTH INC 3 PHI PHARMACY I WISE JOSHUA

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Organization Name Other Organization Name Type Code Other Organization Name Authorized Official Last Name Authorized Official First Name
PACIFIC HEALTH INC 3 PHI PHARMACY I WISE JOSHUA
Gender:
none
Enumeration date:
2007-03-16
Last update date:
2017-02-28
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state
2112141 Other PK none
3R007 Medicaid none MP

Taxonomies

Taxonomy State License Number Primary?
335U00000X Organ Procurement Organization none none
3336C0002X Clinic Pharmacy MP RP001

Phone Numbers

Type Number
Practice Location Address Telephone Number 6703235000
Authorized Official Telephone Number 6702356175
Mailing Address Fax Number 6703235011
Practice Location Address Fax Number 6703235011

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 505089 COMMONWEALTH HEALTH CENTER SAIPAN MP 96950 MP
Practice Location Address 1 NAVY HILL RD SAIPAN MP 96950 MP

Other NPI Records that share a phone number

NPI Name Address State City
1700284379 WISE, JOSHUA
Individual
COMMONWEALTH HEALTH CENTER 2ND FLOOR MP SAIPAN
1477674869 PACIFIC HEALTH INC
Organization
JOETEN DANDAN CENTER, MNSGR GUERRERO RD., DANDAN MP SAIPAN

Other NPI Records that share an address

NPI Name Address State City
1477674869 PACIFIC HEALTH INC
Organization
JOETEN DANDAN CENTER, MNSGR GUERRERO RD., DANDAN MP SAIPAN
1871795948 LAIDLAW, SUSAN
Individual
1 NAVY HILL RD MP SAIPAN
1982095923 FREEMAN, KATHRYN
Individual
1 NAVY HILL RD MP SAIPAN