Individual
ELAINE MARIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
786 D STREET, JBER, AK 99505-9965
(907) 384-0610
(907) 384-8195
Mailing address
786 D STREET, JBER, AK 99505
(907) 384-0610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHAP1269
AK
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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