Individual
THAD RYAN MOWDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1200 SALMON CREEK LANE, JUNEAU, AK 99801
(907) 463-4031
(907) 463-6658
Mailing address
1200 SALMON CREEK LANE, JUNEAU, AK 99801
(907) 463-4031
(907) 463-6658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
128816
AK
183500000X
Pharmacist
R-17763
OK
Other
Enumeration date
03/29/2018
Last updated
12/08/2021
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