Individual
TATJANA JELIC
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4661
(907) 261-4974
Mailing address
2523 BROOKE DR, ANCHORAGE, AK 99517-1252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1368
AK
Other
Enumeration date
06/17/2005
Last updated
07/08/2007
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