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Organization

CARR-GOTTSTEIN FOODS CO

Active
Other names
CARRS PHARMACY #1812
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization

Contact information

Practice address
4000 W DIMOND BLVD, ANCHORAGE, AK 99502-1401
(907) 339-1260
(907) 339-1219
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
323
AK
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0201208
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/02/2006
Last updated
03/04/2020
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