Individual
KEN HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
269 MORGANS RD, ANIAK, AK 99557
(907) 675-4556
(907) 675-4693
Mailing address
PO BOX 2, ANIAK, AK 99557-0002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1369
AK
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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