Individual
DEBRALIZ EAY DEDIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
595 E PARKS HWY, WASILLA, AK 99654-8150
(907) 352-1160
Mailing address
7545 FOXRIDGE WAY APT 418, ANCHORAGE, AK 99518-3708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
146510
AK
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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