Individual
DEVON NOELLE GANGAWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3627 AIRPORT WAY, FAIRBANKS, AK 99709-4779
(907) 374-4060
Mailing address
3627 AIRPORT WAY, FAIRBANKS, AK 99709-4779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
180320
AK
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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