Susitna Professional Pharmacy in Wasilla - Community/retail Pharmacy
Susitna Professional Pharmacy - NPI 1467441808
Susitna Professional Pharmacy is a Community/retail Pharmacy in Wasilla, Alaska. Susitna Professional Pharmacy practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Susitna Professional Pharmacy is 1467441808. The last update date is 2012-07-26.
Susitna Professional Pharmacy's current location address is 1751 E Gardner Way, Wasilla, Alaska. You can contact this provider via phone number 9073737933 and fax number 9073737939. The mailing address for Susitna Professional Pharmacy is 1751 E Gardner Way, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susitna Professional Pharmacy |
|---|---|
| Address | 1751 E Gardner Way, Wasilla, Alaska |
| Phone Number | 9073737933 |
| Fax Number | 9073737939 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mundell Mary |
| Telephone Number | 9073737933 |
NPI Number Detail
| NPI Number | 1467441808 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2012-07-26 |
Provider Mailing Address Detail
| Address | 1751 E Gardner Way |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 996546564 |
| Phone Number | 9073737933 |
| Fax Number | 9073737939 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 408 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PH0266 | AK | -- | |
| 202553 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the Susitna Professional Pharmacy's 1467441808?
The Susitna Professional Pharmacy's NPI (National Provider Identifier) Number is 1467441808. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Susitna Professional Pharmacy is physically located?
The Susitna Professional Pharmacy is situated at the following address: 1751 E Gardner Way, Wasilla, AK 996546564.
What is Susitna Professional Pharmacy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susitna Professional Pharmacy's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.
When was the Susitna Professional Pharmacy's 1467441808 issued?
The Susitna Professional Pharmacy's 1467441808 was issued on 2005-10-18.
When was the information pertaining to Susitna Professional Pharmacy most recently updated or revised?
The details related to Susitna Professional Pharmacy, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-26.