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Clan Corporation — NPI 1750443446, Dededo, GU | NPI Central

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NPI 1750443446

OrganizationActive

Clan Corporation

NPI 1750443446 · Pharmacist · Dededo, GU

Provider details

NPI number: 1750443446
Entity type: Organization
Primary specialty: PharmacistPharmacy Service Providers
Organization subpart: No
Authorized official: Catherine Concepcion, President(671) 637-9683
License: PCY029 (GU)

Specialties & taxonomies

PharmacistPrimary183500000XLicense PCY029 (GU)
Pharmacy Service Providers

Practice location

172 E Buena Vista Ave

Dededo, GU 96929-5367

Phone: (671) 637-9683

Fax: (671) 637-3408

More GU providers

Mailing address

Po Box 9901

Tamuning, GU 96931-5901

Other names (DBA / former)

Doing business as: Dba Polymedic Pharmacy

Registry dates

Enumerated: 2006-12-16
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.