Individual
JANA MARIE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 261-4974
Mailing address
3405 WENTWORTH ST, ANCHORAGE, AK 99508-4355
(907) 222-1907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012218
AZ
183500000X
Pharmacist
1617
AK
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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