Organization
PROFESSIONAL PHARMACY LLC
Active
Organization
PROFESSIONAL PHARMACY LLC
Active
Other names
Alaska Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIF HOLM PHARMD (PRESIDENT)
(907) 488-8555
Entity
Organization
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4948
(907) 452-2556
(907) 451-8314
Mailing address
167 SANTA CLAUS LANE, NORTH POLE, AK 99705
(907) 488-8555
(907) 488-8556
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
474
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571025
—
AK
Enumeration date
08/10/2006
Last updated
06/02/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up