Individual
MICHAEL WOLLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 212-4974
Mailing address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1774
AK
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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