Wellformed AI

NPI 1992984199 · live from the CMS NPI Registry

Edward Bako, R.Ph.

Pharmacist in Anchorage, AK. National Provider Identifier 1992984199, active.

NPI record

NPI1992984199 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location4501 Business Park Blvd, Building L, Suite 24, Anchorage, AK 99503
Practice phone907-334-2654
EnumeratedOctober 24, 2007
Last updatedOctober 24, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist primary183500000X1514 (AK)
Pharmacist183500000X03-1-20810 (OH)

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