Organization
ST JOSEPH PHARMACY INC
Active
Organization
ST JOSEPH PHARMACY INC
Active
Other names
St. Joseph Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
UYEN PHAM (OPERATIONS MANAGER)
(671) 648-1128
Entity
Organization
Contact information
Practice address
415 CHALAN SAN ANTONIO STE 101, TAMUNING, GU 96913-3620
(671) 648-1128
Mailing address
425 CHALAN SAN ANTONIO # 168, TAMUNING, GU 96913-3602
(671) 727-8216
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY057
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134151
PK
—
Enumeration date
03/13/2012
Last updated
07/09/2013
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