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MISS EVELYN C AHHING FAAIUASO PHARM P

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1396811469

Individual Registrant:
MISS EVELYN C AHHING FAAIUASO PHARM P
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1234 TURNER ROAD LBJ TROPICAL MEDICAL CENTER FAAGACLA, AS 96799 US
Tel: 684-633-1222  Fax: 684-633-2002

Contact information for business:
1234 TURNER ROAD LBJ TROPICAL MEDICAL CENTER PAGO PAGO, AS 96799 US
Tel: 684-633-2003  Fax: 684-633-2002

Registration Information:
NPI: 1396811469
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
HIPH-1797

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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