| NPI | 1609829100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GIONET Owner 907-279-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: AK PHAR426) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-01-22 |