NPI | 1467534537 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN WILLIAM GALLAGHER CEO 907-822-5686 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AK 115647) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2006-10-19 |
Last Update Date | 2021-03-29 |