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GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION

Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

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Contact Information

GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION
162 AS ABMAN DR
INARAJAN, GU  96917
 Phone: 671-828-7547
 Fax: 671-828-7504
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

 3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

 3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION

NPI # 1184796690
LBN Legal business name GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION
Authorized official MICHELLE DELOSO - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2006
Last updated 09/28/2016 - About 10 years ago
Identifiers
GU License # PCY011
GU Medicaid 636
Other 2112062 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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