Individual
BROOKE ALEXA LIZOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-5615
Mailing address
310 SLATER DR, FAIRBANKS, AK 99701-3432
(907) 978-7852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
178668
AK
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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