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Organization

PETERSBURG REXALL DRUG INC

Active
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Organization

PETERSBURG REXALL DRUG INC

Active
Other names
PETERSBURG REXALL DRUG INC
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE KOWALSKI RPL (STORE MANAGER)
(907) 772-3265
Entity
Organization

Contact information

Practice address
215 N NORDIC DR, PETERSBURG, AK 99833-1208
(907) 772-3265
(907) 772-3165
Mailing address
PO BOX 1209, PETERSBURG, AK 99833-1209

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHAR46
AK
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1996439
PK
05
DH0046
AK
Enumeration date
03/15/2007
Last updated
06/20/2016
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