NPI | 1740005792 |
---|---|
Doing Business As | SUNSHINE COMMUNITY HEALTH CENTER PHARMACY - WILLOW |
Entity Type | Organization |
Authorized Contact | AMANDA SIMPSON Credentialing Specialist 907-733-2273 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2024-11-15 |
Last Update Date | 2024-12-03 |