| NPI | 1437194206 |
|---|---|
| Doing Business As | GREAT LAND INFUSION PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS SCOTT NOAEILL President/Owner 907-561-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: AK 429) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2021-04-27 |