Individual
NICOLE WINIARSKI-PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
530 OLD STEESE HWY, FAIRBANKS, AK 99701-3130
(907) 457-9301
Mailing address
4372 9TH ST UNIT L, FORT WAINWRIGHT, AK 99703-1301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
208749
AK
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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