Community Pharmacy Iii

LBN: Jake Enterprises Inc
Community Pharmacy Iii is an health care organization with primary practice located at 612 W Marine Corps Dr Ste 8 Calvo'S Bldg, Dededo GU 96929-5629. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Jake Enterprises Inc can be contacted via phone (671) 637-3323, or through Aggabao, June via phone (671) 646-6515.

Contact Information

Primary practice address
612 W Marine Corps Dr Ste 8 Calvo'S Bldg Dededo GU 96929-5629
Phone: (671) 637-3323
Fax: (671) 637-3316
Website:
Map and Directions
Authorized official contact:
Name: Aggabao, June RPH
Phone: (671) 646-6515

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X PCY046 Guam
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1841338506
LBN Legal business name Jake Enterprises Inc
DBA Doing business as Community Pharmacy Iii
Authorized official Aggabao, June RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Feb 11th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841338506 NPPES
Other 2112136 PK

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