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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