Organization
TAKECARE INSURANCE COMPANY, INC.
Active
Parent organization
TAKECARE INSURANCE COMPANY, INC.
Other names
FHP Pharmacy, Saipan
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAKECARE INSURANCE COMPANY, INC.
Authorized official
MR. JEFFREY LARSEN (PRESIDENT, HEALTH PLAN ADMINISTRATO)
(671) 646-6956
Entity
Organization
Contact information
Practice address
2ND FLOOR TSL PLAZA, GARAPAN, SAIPAN, MP 96950
(670) 234-6584
(670) 234-3742
Mailing address
P.O. BOX 500118, SAIPAN, MP 96950
(670) 234-6584
(670) 234-3742
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
RP-002
MP
3336C0003X
Community/Retail Pharmacy
Primary
RP-002
MP
3336M0003X
Managed Care Organization Pharmacy
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5500043
NCPDP NUMBER
MP
Enumeration date
08/10/2006
Last updated
11/05/2015
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