| NPI | 1548263387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY FISHEL President/Owner 907-789-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AK PH407) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AK PH407) |
| 261QI0500X Clinic/Center, Infusion Therapy (Licence: AK PH407) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |