Provider Demographics
NPI:1568583169
Name:RAN-CARE INC
Entity Type:Organization
Organization Name:RAN-CARE INC
Other - Org Name:SAGAN AMOT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILMA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:671-632-6000
Mailing Address - Street 1:PO BOX 11864
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96931-1864
Mailing Address - Country:US
Mailing Address - Phone:671-632-6000
Mailing Address - Fax:671-632-9000
Practice Address - Street 1:875 N RT 2 STE A-106
Practice Address - Street 2:AGAT POINT COMMERCIAL CENTER
Practice Address - City:AGAT
Practice Address - State:GU
Practice Address - Zip Code:96928
Practice Address - Country:US
Practice Address - Phone:671-565-3043
Practice Address - Fax:671-565-3048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
GUPCY0223336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2127953OtherPK