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Organization
VIK MANAGEMENT, INC.
Active
Organization
VIK MANAGEMENT, INC.
Active
Other names
ITC Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
JULIUS SANTOS FERNANDO RPH (PHARMACIST)
(671) 649-1977
Entity
Organization
Contact information
Practice address
416 CHALAN SAN ANTONIO, TAMUNING, GU 96913-3601
(671) 649-1977
(671) 646-5338
Mailing address
PO BOX 11468, TAMUNING, GU 96931-1468
(671) 649-1977
(671) 646-5338
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PCY015
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5400089
NCPDP
GU
01
—
PCY015
GUAM PHARMACY LICENSE
GU
Enumeration date
12/13/2006
Last updated
06/18/2008
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