| NPI | 1811106271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SHERRY CEO 907-729-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: AK 255468) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-05-15 |