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LUISA CLEMENS PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1467790840

Individual Registrant:
 LUISA  CLEMENS PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
PO BOX LBJ  PAGO PAGO, AS 96799-0010 US
Tel: 684-633-1222  Fax: --

Contact information for business:
PO BOX LBJ  PAGO PAGO, AS 96799-0010 US
Tel: 684-633-1222  Fax: --

Registration Information:
NPI: 1467790840
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CARPH 55260

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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