Organization
BKO HEALTH LLC
Active
Other names
Scotts Family Pharmacy Health and Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN SCOTT PHARMD (OWNER, PIC, AO)
(907) 226-2580
Entity
Organization
Contact information
Practice address
4014 LAKE ST STE 101, HOMER, AK 99603-7692
(907) 226-2580
(907) 226-2620
Mailing address
4014 LAKE ST STE 101, HOMER, AK 99603-7692
(907) 226-2580
(907) 226-2620
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113764
AK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163811
PK
—
Enumeration date
07/26/2016
Last updated
09/30/2016
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