NPI 1619602463 · live from the CMS NPI Registry
Anna Kim Chung
Pharmacist in Wasilla, AK. National Provider Identifier 1619602463, active.
NPI record
| NPI | 1619602463 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 721 W Wilder Ave, Wasilla, AK 99654 |
| Practice phone | 907-671-2548 |
| Enumerated | July 17, 2022 |
| Last updated | July 17, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 172115 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.