Organization
TRESPHARM INC
Active
Other names
OKA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG PARK (PRESIDENT)
(671) 647-1193
Entity
Organization
Contact information
Practice address
241 FARENHOLT AVE, STE 101, TAMUNING, GU 96913-3203
(671) 647-1193
(671) 647-1194
Mailing address
PO BOX 10600, TAMUNING, GU 96931-0600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY045
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5412200
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/30/2007
Last updated
12/06/2011
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