| NPI | 1003973041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PFEFFER CEO 907-486-9801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: AK 107) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-07-25 |