NPI | 1427079474 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY TANNER CEO 907-277-0644 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AK 427) |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
3336M0002X Pharmacy Mail Order Pharmacy | |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-08-22 |