Provider Demographics
NPI:1154310878
Name:MEGGS CORPORATION
Entity Type:Organization
Organization Name:MEGGS CORPORATION
Other - Org Name:GUAM REXALL DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:M
Authorized Official - Last Name:GABRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:671-649-3784
Mailing Address - Street 1:646 S MARINE DR
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-3503
Mailing Address - Country:US
Mailing Address - Phone:671-646-4827
Mailing Address - Fax:671-649-0051
Practice Address - Street 1:646 S MARINE DR
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3503
Practice Address - Country:US
Practice Address - Phone:671-646-4827
Practice Address - Fax:671-649-0051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-15
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUPCY006333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GU5410939OtherNABP