Organization
SOUTH PENNISULA HOSPITAL PHCY
Active
Other names
SOUTH PENINSULA HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE OSTROM (RPH)
(907) 235-0257
Entity
Organization
Contact information
Practice address
4300 BARTLETT ST, HOMER, AK 99603-7005
(907) 235-0257
(907) 235-0848
Mailing address
4300 BARTLETT ST, HOMER, AK 99603-7005
(907) 235-0257
(907) 235-0848
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
232
AK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996579
PK
—
Enumeration date
09/05/2006
Last updated
02/07/2020
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