Individual
MARY K. FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1200 SALMON CREEK LANE, JUNEAU, AK 99801
(907) 463-4031
(907) 463-6658
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-4031
(907) 463-6658
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHAC169
AK
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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