Provider Demographics
NPI:1427253574
Name:SAZON, ANALYN ENCIO
Entity type:Individual
Prefix:MRS
First Name:ANALYN
Middle Name:ENCIO
Last Name:SAZON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANALYN
Other - Middle Name:USON
Other - Last Name:ENCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 8333
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96931
Mailing Address - Country:US
Mailing Address - Phone:671-637-3049
Mailing Address - Fax:671-647-6126
Practice Address - Street 1:646 S MARINE DRIVE
Practice Address - Street 2:GUAM REXALL DRUGS
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913
Practice Address - Country:US
Practice Address - Phone:671-646-4827
Practice Address - Fax:671-647-6126
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUPIL07002183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician