Community Pharmacy I

LBN: Jake Enterprises Inc
Community Pharmacy I is an health care organization with primary practice located at 177 Chalan Pasaheru Ste C , Tamuning GU 96913-4161. The organization recently has 2 registered licenses in different health care specialties including 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) 646-6160, or through Aggabao, June via phone (671) 646-6160.

Contact Information

Primary practice address
177 Chalan Pasaheru Ste C Tamuning GU 96913-4161
Phone: (671) 646-6160
Fax: (671) 646-6159
Website:
Map and Directions
Authorized official contact:
Name: Aggabao, June RPH
Phone: (671) 646-6160

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PCY039 Guam
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1548397128
LBN Legal business name Jake Enterprises Inc
DBA Doing business as Community Pharmacy I
Authorized official Aggabao, June RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Jan 5th, 2012 - 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 1548397128 NPPES
Other 5411400 NCPDP PROVIDER IDENTIFICATION NUMBER

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