Element 1b

NPI #1639854748 in Tamuning, Guam

Provider Information

NPI Number: 1639854748
Entity Type: Organization
Organization Name: Element 1b
Primary Specialty: Pharmacy
Enumeration Date: Jun 16, 2023
Last Updated: Jul 19, 2023

Practice Location

Address: 543 GUMA YUOS STREET
City: Tamuning
State: Guam
ZIP Code: 96913
Phone: (671) 864-4357

Authorized Official

Name: JAZZEDYPAUL CAMPOS
Title: OWNER
Phone: (671) 864-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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