Individual
MICHAEL PAUL DISTANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7701 DEBARR RD STE A, ANCHORAGE, AK 99504-1869
(907) 269-1733
Mailing address
215 GLENN ABBEY PL, ANCHORAGE, AK 99504-4892
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
228690
AK
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
228690
AK
Other
Enumeration date
11/09/2024
Last updated
05/14/2026
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