Individual
MAXX RITCHIE KEIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4900
Mailing address
2215 FIRST AVE APT A, KETCHIKAN, AK 99901-5972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124922
AK
1835P2201X
Ambulatory Care Pharmacist
124922
AK
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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