MEDICARE: ST JOSEPH PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PCY057	GU

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2134151	OTHER		PK

General Provider Information

NPI Number	:	1942575790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST JOSEPH PHARMACY INC

Provider Business Mailing Address
First Line	:	425 CHALAN SAN ANTONIO # 168
Second Line	:
City	:	TAMUNING
State	:	GU
Zip	:	96913-3602
Country	:	US
Telephone Number	:	671-727-8216
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 CHALAN SAN ANTONIO STE 101
Second Line	:
City	:	TAMUNING
State	:	GU
Zip	:	96913-3620
Country	:	US
Telephone Number	:	671-648-1128
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	UYEN PHAM
Credential	:
Telephone Number	:	671-648-1128

Provider Enumeration Date	:	03/13/2012
Last Update Date	:	07/09/2013

Similar Medicare Providers

1003884297 — GREGORY PAUL BURTON MD
Practice Location Address:

415 CHALAN SAN ANTONIO , STE 214
TAMUNING, GU
96913-3620

Practice Phone: 671-647-6213
Practice Fax: 671-647-5385

1154381515 — MISS MARLENE R SAN NICOLAS O.D.
Practice Location Address:

415 CHALAN SAN ANTONIO , SUITE 111-113
TAMUNING, GU
96913-3620

Practice Phone: 671-648-3350
Practice Fax: 671-647-3546

1760539464 — DR. DINA D DOMALANTA-VILLALUNA MD
Practice Location Address:

415 CHALAN SAN ANTONIO STE 109
TAMUNING, GU
96913-3620

Practice Phone: 671-647-7337
Practice Fax: 671-647-7336

1487772000 — ISLAND EYE CENTER
Practice Location Address:

415 CHALAN SAN ANTONIO STE 214
TAMUNING, GU
96913-3620

Practice Phone: 671-647-5381
Practice Fax: 671-647-5385

1821329285 — DR. TOM SERAFICA VELORIA D.M.D.
Practice Location Address:

415 CHALAN SAN ANTONIO , SUITE 303
TAMUNING, GU
96913-3620

Practice Phone: 671-646-5146
Practice Fax: 671-646-8690

1427475300 — DR. COLLETTE ELKE SUPIT D.D.S.
Practice Location Address:

415 CHALAN SAN ANTONIO , SUITE 108
TAMUNING, GU
96913-3620

Practice Phone: 671-647-3526
Practice Fax:

Directions to “ST JOSEPH PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.