Provider Demographics
NPI:1265624720
Name:RAHO, ANTHONY EDWARD (RPH)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:EDWARD
Last Name:RAHO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 500118
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950
Mailing Address - Country:US
Mailing Address - Phone:670-234-6584
Mailing Address - Fax:670-234-3742
Practice Address - Street 1:2ND FLOOR TSL PLAZA, GARAPAN
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-234-6584
Practice Address - Fax:670-234-3742
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MPRP0032183500000X
MP0031183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MPRP0032OtherRPH LICENSE