Organization
WHALE TAIL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ALTLAND (PHARMACIST)
(907) 826-5750
Entity
Organization
Contact information
Practice address
333 COLD STORAGE RD, SUITE 103 BOX 709, CRAIG, AK 99921
(907) 826-5750
(907) 826-5752
Mailing address
333 COLD STORAGE RD, SUITE 103 BOX 709, CRAIG, AK 99921
(907) 826-5750
(907) 826-5752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
430
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MS3699
—
AK
05
—
PH3699
—
AK
Enumeration date
07/10/2006
Last updated
03/03/2008
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