NPI 1972156099 · live from the CMS NPI Registry
Debraliz Eay Dedios, PharmD
Pharmacist in Wasilla, AK. National Provider Identifier 1972156099, active.
NPI record
| NPI | 1972156099 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 595 E Parks Hwy, Wasilla, AK 99654 |
| Practice phone | 907-352-1160 |
| Mailing address | 7545 Foxridge Way Apt 418, Anchorage, AK 99518 |
| Enumerated | July 17, 2019 |
| Last updated | July 17, 2019 |
| Sole proprietor | No |
| Other names | Debraliz Eclevia |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 146510 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.