Organization
JAKE ENTERPRISES INC
Active
Other names
COMMUNITY PHARMACY I
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE AGGABAO RPH (OWNER PRES AND MANAGING PHARM)
(671) 646-6160
Entity
Organization
Contact information
Practice address
177 CHALAN PASAHERU STE C, TAMUNING, GU 96913-4161
(671) 646-6160
(671) 646-6159
Mailing address
177 CHALAN PASAHERU STE C, TAMUNING, GU 96913-4161
(671) 646-6160
(671) 646-6159
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PCY039
GU
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5411400
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/28/2007
Last updated
01/05/2012
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