| NPI | 1053341966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KEVIN HENDERSON Owner 907-262-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: AK 490) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AK PHAR490) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-09-27 |