| NPI | 1962900100 |
|---|---|
| Doing Business As | CRNA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PAUL RUDE CEO 907-822-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: AK 123829) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |