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, SUITE 126, TAMUNING, GU 96913-3507
(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
261Q00000X
Clinic/Center
Primary
PCY014
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631
—
GU
Enumeration date
10/19/2005
Last updated
08/22/2020
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