Individual
JOHN WALLACE RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
330 W DIMOND BLVD, ANCHORAGE, AK 99515-1903
(907) 276-7116
(907) 344-1297
Mailing address
2523 WINTERCREST CIR, ANCHORAGE, AK 99516-1996
(907) 748-9789
(907) 344-1297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AA 403
AK
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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