| NPI | 1619759677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVANNAH SHARLETT JONES Inventory Specialist 907-255-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |