National Provider Identifier Database

DEPT OF PUBLIC HEALTH PHARMACY NRCHC
Public Health, State or Local


Contact Information

DEPT. OF PUBLIC HEALTH PHARMACY-NRCHC
520 W SANTA MONICA AVE
DEDEDO, GU96929-5286
Phone: 671-635-7492
Fax: 671-635-7493
Website:
Specialty Taxonomy Code
* Public Health, State or Local 261QP0905X

* Indicates primary specialty

NPI Profile & details for DEPT. OF PUBLIC HEALTH PHARMACY-NRCHC

NPI Number 1760532394
Legal business name
LBN
DEPT. OF PUBLIC HEALTH PHARMACY-NRCHC
Authorized official LINDA DENORCEY - (HEALTH SERVICES ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 01/12/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GU License #: 11-P020
  • GU Medicaid: 654
  • GU Other: 5412426 NCPDP NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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