| NPI | 1710480009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN RUFFRIDGE Director 907-262-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AK 131479) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-05-03 |