Individual
DR. BRYCE FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2911 MILL BAY RD, ATTN: PHARMACY, KODIAK, AK 99615-7809
(907) 481-1675
Mailing address
2911 MILL BAY RD, ATTN: PHARMACY, KODIAK, AK 99615-7809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2315
AK
183500000X
Pharmacist
PHA-PHA-LIC-28356
MT
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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