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Organization

IVY HOME INFUSIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL GIONET RPH (OWNER)
(907) 279-2425
Entity
Organization

Contact information

Practice address
2841 DE BARR RD, STE 20, ANCHORAGE, AK 99508
(907) 279-2425
(907) 279-2426
Mailing address
2841 DE BARR RD, STE 20, ANCHORAGE, AK 99508
(907) 279-2425
(907) 279-2426

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
3336C0004X
Compounding Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHAR426
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1996879
PK
05
PH7680
AK
Enumeration date
05/18/2006
Last updated
01/22/2018
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