Organization
GLACIER VIEW TLC PHARMACY
Active
Other names
Glacier View TLC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA POOLE (OWNER/PHARMACIST IN CHARGE)
(907) 789-7570
Entity
Organization
Contact information
Practice address
9109 MENDENHALL MALL RD, SUITE 7-A, JUNEAU, AK 99801-7113
(907) 789-7570
(866) 431-1898
Mailing address
PO BOX 32960, JUNEAU, AK 99803-2960
(907) 789-7570
(866) 431-1898
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
455
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227935
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/20/2007
Last updated
10/19/2009
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