Organization
BERNIE'S PHARMACY INC
Active
Organization
BERNIE'S PHARMACY INC
Active
Other names
BERNIE'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA E HALL (CEO)
(907) 562-2138
Entity
Organization
Contact information
Practice address
4100 LAKE OTIS PARKWAY, SUITE 200, ANCHORAGE, AK 99508
(907) 562-2138
(907) 561-0752
Mailing address
4100 LAKE OTIS PARKWAY, SUITE 200, ANCHORAGE, AK 99508
(907) 562-2138
(907) 561-0752
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
370
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021888
—
AK
05
—
1028489
—
AK
01
—
1996604
PK
—
Enumeration date
06/22/2005
Last updated
08/28/2018
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