Individual
MR. NICHOLAS NZIOKA NDETTI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
1919 LATHROP ST, SUITE 109, FAIRBANKS, AK 99701-5937
(907) 452-1514
(907) 452-1917
Mailing address
1919 LATHROP ST, SUITE 109, FAIRBANKS, AK 99701-5937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
102370
AK
Other
Enumeration date
08/03/2016
Last updated
08/23/2016
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