| NPI | 1881776664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE CHRISTENSEN Owner 907-225-6186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AK 66) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-03-24 |