Lake Otis Pharmacy Inc in Anchorage - Community/retail Pharmacy
Lake Otis Pharmacy Inc - NPI 1982625943
Lake Otis Pharmacy Inc is a Community/retail Pharmacy in Anchorage, Alaska. Lake Otis Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Lake Otis Pharmacy Inc is 1982625943. The last update date is 2012-03-09.
Lake Otis Pharmacy Inc's current location address is 4201 Lake Otis Pkwy, Anchorage, Alaska. You can contact this provider via phone number 9075637878 and fax number 9075637879. The mailing address for Lake Otis Pharmacy Inc is 4201 Lake Otis Pkwy, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lake Otis Pharmacy Inc |
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Address | 4201 Lake Otis Pkwy, Anchorage, Alaska |
Phone Number | 9075637878 |
Fax Number | 9075637879 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Sutterlin Wesley |
Credentials | RPH |
Telephone Number | 9075637878 |
NPI Number Detail
NPI Number | 1982625943 |
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Provider Enumeration Date | 2006-07-22 |
Last Updated Date | 2012-03-09 |
Provider Mailing Address Detail
Address | 4201 Lake Otis Pkwy |
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City | Anchorage |
State | Alaska (AK) |
Post Code | 995085214 |
Phone Number | 9075637878 |
Fax Number | 9075637879 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
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Taxonomy | 3336C0003X |
Licence No | 163 |
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
PH0163 | AK | -- | |
201525 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the Lake Otis Pharmacy Inc's unique identification number?
The Lake Otis Pharmacy Inc has been assigned the NPI (National Provider Identifier) Number 1982625943 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Lake Otis Pharmacy Inc is geographically located?
The Lake Otis Pharmacy Inc is physically situated at the following location: 4201 Lake Otis Pkwy, Anchorage, AK, 995085214.
What is Lake Otis Pharmacy Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lake Otis Pharmacy Inc's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982625943 to Lake Otis Pharmacy Inc?
The Centers for Medicare & Medicaid Services originally issued the 1982625943 to Lake Otis Pharmacy Inc on 2006-07-22.
As of what date was the information pertaining to Lake Otis Pharmacy Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lake Otis Pharmacy Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-03-09.
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