| NPI | 1619378270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY L FLYNN Pharmacist In Charge 907-770-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AK 498) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |