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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