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Individual

DR. JOHN WILLIAM WANEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2925 DEBARR RD, ANCHORAGE, AK 99508-2983
(907) 257-4822
Mailing address
17642 TOAKOANA WAY, EAGLE RIVER, AK 99577-8514
(907) 250-8186

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
1305
AK
1835P1200X
Pharmacotherapy Pharmacist
13341
NV
1835P1200X
Pharmacotherapy Pharmacist
PH1838
HI
1835P1200X
Pharmacotherapy Pharmacist
RPH49027
CA
1835P1200X
Pharmacotherapy Pharmacist
S11706
AZ

Other

Enumeration date
06/26/2006
Last updated
07/08/2007
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