| NPI | 1073658431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLISTA CARLTON Clinical Director Of Pharmacy 907-729-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-07-26 |