Organization
ULMER MEDE, INC.
Active
Other names
Ulmer's Drug & Hardware
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MICHAEL MEDE (OWNER)
(907) 226-3089
Entity
Organization
Contact information
Practice address
3858 LAKE STREET, STE 5, HOMER, AK 99603
(907) 235-7760
(907) 235-2897
Mailing address
3858 LAKE STREET, STE 5, HOMER, AK 99603
(907) 235-7760
(907) 235-2897
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
108984
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201082
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
1650751
—
AK
Enumeration date
08/18/2006
Last updated
11/21/2019
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