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 |