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
Pharmacy Service Providers
Practice location
172 E Buena Vista Ave
Dededo, GU 96929-5367
Phone: (671) 637-9683
Fax: (671) 637-3408
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.