Organization
FOODLAND SUPER DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M WHITEHEAD R.PH. (PRESIDENT/PHARMACIST)
(907) 586-2012
Entity
Organization
Contact information
Practice address
631 W WILLOUGHBY AVE, JUNEAU, AK 99801-1731
(907) 586-2012
Mailing address
631 W WILLOUGHBY AVE, JUNEAU, AK 99801-1731
(907) 586-2012
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
23
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200333
NCPDP PHARMACY NUMBER
—
01
—
23
STATE PHARMACY LICENSE
AK
Enumeration date
09/26/2006
Last updated
08/22/2020
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