| NPI | 1699818211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM HOLO PIC 907-277-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AK 427) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |