| NPI | 1194848242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN T GOROSKI Chief Pharmacist 907-766-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: AK 365) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |