Itc Pharmacy I

LBN: Vik Management, Inc.
Itc Pharmacy I is an health care organization with primary practice located at 590 S Marine Dr Ste 126 , Tamuning GU 96913-3531. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Vik Management, Inc. can be contacted via phone (671) 646-6395, or through Fernando, Julius Santos via phone (671) 646-6395.

Contact Information

Primary practice address
590 S Marine Dr Ste 126 Tamuning GU 96913-3531
Fax: (671) 646-4332
Website:
Authorized official contact:
Name: Fernando, Julius Santos RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PCY-014 Guam

Profile Details

NPI number 1053470955
LBN Legal business name Vik Management, Inc.
DBA Doing business as Itc Pharmacy I
Authorized official Fernando, Julius Santos RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Jun 26th, 2008 - about 16 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 1053470955 NPPES
Guam MEDICAID 671

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