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Individual

MR. GERALD KUI WO BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
1919 LATHROP ST, SUITE # 109, FAIRBANKS, AK 99701-5930
(907) 452-1514
(907) 452-1917
Mailing address
PO BOX 70196, 434 MARSHALL DRIVE, FAIRBANKS, AK 99707-0196
(907) 457-7001
(907) 457-7016

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AK1024
AK

Other

Enumeration date
03/13/2007
Last updated
07/08/2007
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