NPI | 1992033575 |
---|---|
Doing Business As | FRONTIER MEDICAL PHARMACY |
Entity Type | Organization |
Authorized Contact | GABRIEL LUJAN CEO 907-258-8618 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AK 482) |
Additional Taxonomies | 333600000X Pharmacy |
3336M0002X Pharmacy, Mail Order Pharmacy | |
Enumeration Date | 2009-11-19 |
Last Update Date | 2014-07-02 |