Community Pharmacy Ii

LBN: Jake Enterprises Inc
Community Pharmacy Ii is an health care organization with primary practice located at 1244 N Marine Corps Dr , Tamuning GU 96913-4308. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jake Enterprises Inc can be contacted via phone (671) 646-6515, or through Florendo, Marilyn via phone (671) 646-6515.

Contact Information

Primary practice address
1244 N Marine Corps Dr Tamuning GU 96913-4308
Fax: (671) 646-6516
Website:
Authorized official contact:
Name: Florendo, Marilyn RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY042 Guam

Profile Details

NPI number 1962540955
LBN Legal business name Jake Enterprises Inc
DBA Doing business as Community Pharmacy Ii
Authorized official Florendo, Marilyn RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Oct 5th, 2011 - about 13 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 1962540955 NPPES
Other 5411842 NCPDP PROVIDER IDENTIFICATION NUMBER

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