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Individual

AMBER L EWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1800 E PARKS HWY, WASILLA, AK 99654-7353
(907) 631-7201
Mailing address
870 N ESTY DR # B, PALMER, AK 99645-9378
(907) 745-7331

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1333
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841448743
NPI
Enumeration date
06/29/2011
Last updated
03/07/2023
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