Organization
JAKE ENTERPRISES INC
Active
Other names
COMMUNITY PHARMACY III
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE AGGABAO RPH (OWNER PRES AND MANAGING PHARM)
(671) 646-6515
Entity
Organization
Contact information
Practice address
612 W MARINE CORPS DR, STE 8 CALVO'S BLDG, DEDEDO, GU 96929-5629
(671) 637-3323
(671) 637-3316
Mailing address
612 W MARINE CORPS DR, STE 8 CALVO'S BLDG, DEDEDO, GU 96929-5629
(671) 637-3323
(671) 637-3316
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PCY046
GU
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112136
PK
—
Enumeration date
02/02/2007
Last updated
02/11/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us