Provider Demographics
NPI:1629598339
Name:MEHAU, MARINA KANOELANI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:KANOELANI
Last Name:MEHAU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MARINA
Other - Middle Name:KANOELANI
Other - Last Name:MEHAU-SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 10003 PMB 163G
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CHALAN MONSIGNOR GUERRERO, DANDAN
Practice Address - Street 2:P 505089
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-235-6170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-23
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH3840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist