Individual
RICHARD PANTELEEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-5615
Mailing address
695 ROBERTS ROOST RD, FAIRBANKS, AK 99712-3252
(907) 699-5996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHAP645
AK
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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