Organization
GIRDWOOD DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN RUFFRIDGE (DIRECTOR)
(907) 262-3800
Entity
Organization
Contact information
Practice address
158 HOLMGREN, STE 103, GIRDWOOD, AK 99587
(907) 205-4270
(907) 262-6429
Mailing address
158 HOLMGREN, STE 103, GIRDWOOD, AK 99587
(907) 205-4270
(907) 262-6429
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
131479
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176430
PK
—
Enumeration date
03/13/2018
Last updated
05/03/2018
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