| NPI | 1467441808 |
|---|---|
| Doing Business As | SUSITNA PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARY MUNDELL Executive VP 907-373-7933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AK 408) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2012-07-26 |