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Organization

STIKINE DRUG LLC

Active
Other names
STIKINE DRUG LLC
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN COLE (OWNER)
(907) 874-3422
Entity
Organization

Contact information

Practice address
202 FRONT ST, WRANGELL, AK 99929
(907) 874-3422
(907) 874-3193
Mailing address
PO BOX 471, WRANGELL, AK 99929-0471

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
374
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202630
NCPDP PROVIDER IDENTIFICATION NUMBER
05
PH0257
AK
Enumeration date
09/22/2006
Last updated
07/03/2012
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