NPI | 1649477126 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW NIELSEN Pharmacist 907-224-4907 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: AK PHAR411) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-06-28 |
Last Update Date | 2018-01-22 |