Organization
PRESCRIPTION CENTER LLC
Active
Other names
Alaska Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIF JOSEPH HOLM PHARMD (PRESIDENT)
(907) 488-8101
Entity
Organization
Contact information
Practice address
1919 LATHROP ST, SUITE 109, FAIRBANKS, AK 99701-5937
(907) 452-1514
(907) 452-1917
Mailing address
1919 LATHROP ST, SUITE 109, FAIRBANKS, AK 99701-5937
(907) 452-1514
(907) 452-1917
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
473
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571037
—
AK
Enumeration date
04/20/2006
Last updated
12/08/2017
About Stedi
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