| NPI | 1205146859 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LEIF JOSEPH HOLM Vice President/Pharmacist 907-488-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AK 474) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |