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Organization

VIK MANAGEMENT, INC.

Active
Other names
ITC Pharmacy I
Organization subpart
No

Provider details

NPI number
Authorized official
JULIUS SANTOS FERNANDO RPH (PHARMACIST)
(671) 646-6395
Entity
Organization

Contact information

Practice address
590 S MARINE DR STE 126, TAMUNING, GU 96913-3531
(671) 646-6395
(671) 646-4332
Mailing address
PO BOX 11468, TAMUNING, GU 96931-1468
(671) 646-6395
(671) 646-4332

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PCY-014
GU

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
671
GU
Enumeration date
12/06/2006
Last updated
06/26/2008
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