| NPI | 1447851951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA E HALL President 907-562-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |