Individual
SARA SUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1650 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99517-3340
(907) 339-0560
Mailing address
5600 DEBARR RD, SUITE 100, ANCHORAGE, AK 99504-2300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03233558-2
OH
183500000X
Pharmacist
Primary
2258
AK
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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