NPI | 1215080502 |
---|---|
Entity Type | Organization |
Authorized Contact | VASSA A ROBERTSON Pharmacist Owner 907-225-3144 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AK 213) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2008-06-16 |