Organization
I CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY TANNER RPH (CEO)
(907) 277-0644
Entity
Organization
Contact information
Practice address
403 W NORTHERN LIGHTS BLVD STE 4, ANCHORAGE, AK 99503-2550
(907) 277-0644
(907) 277-0646
Mailing address
403 W NORTHERN LIGHTS BLVD STE 4, ANCHORAGE, AK 99503-2550
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
427
AK
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227113
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
MS6413
—
AK
05
—
PH5335
—
AK
05
—
PH6413
—
AK
Enumeration date
07/22/2006
Last updated
09/11/2025
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