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Contact Information

JAKE ENTERPRISES INC
1244 N MARINE CORPS DR
TAMUNING, GU96913-4308
 Phone: 671-646-6515
 Fax: 671-646-6516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JAKE ENTERPRISES INC

NPI # 1962540955
LBN Legal business name JAKE ENTERPRISES INC
Authorized official MARILYN FLORENDO - (MANAGING PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2007
Last updated 10/05/2011 - About 15 years ago
Identifiers
GU License # PCY042
Other 5411842 NCPDP PROVIDER IDENTIFICATION NUMBER
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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