Organization
PRESCRIPTION LABORATORIES LLC
Active
Other names
HEWITTS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NIEBERT RPJ (OWNER)
(907) 277-2422
Entity
Organization
Contact information
Practice address
751 E 36TH AVE, STE 114, ANCHORAGE, AK 99503-4141
(907) 277-2422
(907) 278-2422
Mailing address
PO BOX 231027, ANCHORAGE, AK 99523-1027
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
444
AK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200131
OTHER ID NUMBER
—
05
—
PH0038
—
AK
Enumeration date
08/10/2006
Last updated
05/15/2008
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