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Contact Information

GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION
520 W SANTA MONICA AVE
DEDEDO, GU96929-5286
 Phone: 671-788-4098
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION

NPI # 1548140007
LBN Legal business name GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION
Authorized official JESSICA YANIT - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2025
Last updated 09/05/2025 - About 9 months ago
Identifiers n/a
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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