Organization
DOWNTOWN DRUGSTORE
Active
Organization
DOWNTOWN DRUGSTORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASSA A ROBERTSON (PHARMACIST OWNER)
(907) 225-3144
Entity
Organization
Contact information
Practice address
300 FRONT ST, KETCHIKAN, AK 99901-6418
(907) 225-3144
(907) 247-3144
Mailing address
300 FRONT ST, KETCHIKAN, AK 99901-6418
(907) 225-3144
(907) 247-3144
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
213
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PH1252
—
AK
Enumeration date
01/19/2007
Last updated
06/16/2008
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