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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