IndividualActive
Joen Redd Legislador
NPI 1770125148 · Pharmacist · Tamuning, GU
Provider details
- NPI number
- 1770125148
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PH0311 (GU)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
353 Chalan San Antonio Ste 100
Tamuning, GU 96913-3300
Phone: (671) 649-1977
Fax: (671) 646-5338
Mailing address
353 Chalan San Antonio
Tamuning, GU 96913-3392
Registry dates
- Enumerated
- 2019-10-17
- Last updated
- 2025-03-05
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.