| NPI | 1417302639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GALLAGHER CEO/President/AO 907-822-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AK 109610) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2021-10-14 |