Wellformed AI

NPI 1508103979 · live from the CMS NPI Registry

Charles Balzarini, rph

Pharmacist in Eagle River, AK. National Provider Identifier 1508103979, active.

NPI record

NPI1508103979 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location30840 Prudhoe Bay Ave, Eagle River, AK 99577
Practice phone907-696-7534
EnumeratedJanuary 5, 2013
Last updatedJanuary 5, 2013
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist primary183500000X989 (AK)
Pharmacist183500000X3153 (HI)

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