Wellformed AI

NPI 1639323561 · live from the CMS NPI Registry

Terri Leegene Anderson, RPh

Pharmacist in Fairbanks, AK. National Provider Identifier 1639323561, active.

NPI record

NPI1639323561 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location1650 Cowles St, Fairbanks, AK 99701
Practice phone907-458-5615
Mailing address537 Johansen Expy, Fairbanks, AK 99701
EnumeratedNovember 5, 2008
Last updatedJanuary 26, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist183500000X34181 (TX)
Pharmacist primary183500000X1357 (AK)

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