Individual
MR. FREDDY RUKEMA KANIKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
439 5TH & GRIZZLY, KOTZEBUE, AK 99752
(907) 442-7182
Mailing address
210 LANE AVE, PORTLAND, ME 04103-1249
(207) 797-4489
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1675
AK
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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