Clan Corporation

NPI #1750443446 in Dededo, Guam

Provider Information

NPI Number: 1750443446
Entity Type: Organization
Organization Name: Clan Corporation
Primary Specialty: Pharmacist
Enumeration Date: Dec 16, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 172 E BUENA VISTA AVE
City: Dededo
State: Guam
ZIP Code: 96929-5367
Phone: (671) 637-9683

Authorized Official

Name: CATHERINE MANIAGO CONCEPCION, PHARMACIST INTERN
Title: PRESIDENT
Phone: (671) 637-9683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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