Lake Otis Pharmacy Inc in Anchorage - Compounding Pharmacy
Lake Otis Pharmacy Inc - NPI 1982625943
Lake Otis Pharmacy Inc is a Compounding Pharmacy in Anchorage, Alaska. Lake Otis Pharmacy Inc practices all healthcare services and medical treatments related to Compounding 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 |
|---|---|
| Address | 4201 Lake Otis Pkwy, Anchorage, Alaska |
| Phone Number | 9075637878 |
| Fax Number | 9075637879 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sutterlin Wesley |
| Credentials | RPH |
| Telephone Number | 9075637878 |
NPI Number Detail
| NPI Number | 1982625943 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2012-03-09 |
Provider Mailing Address Detail
| Address | 4201 Lake Otis Pkwy |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995085214 |
| Phone Number | 9075637878 |
| Fax Number | 9075637879 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
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 Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0004X.
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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