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NPI 1477332245 · live from the CMS NPI Registry

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Pharmacist in Anchorage, AK. National Provider Identifier 1477332245, active.

NPI record

NPI1477332245 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location2000 W Dimond Blvd, Anchorage, AK 99515
Practice phone907-267-6733
Mailing address2000 W Dimond Blvd Ste C, Anchorage, AK 99515
EnumeratedSeptember 21, 2023
Last updatedSeptember 21, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist primary183500000X199882 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.