Individual
TERRY WAYNE POLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2911 MILL BAY RD, KODIAK, AK 99615-7809
(907) 942-5172
Mailing address
PO BOX 8523, KODIAK, AK 99615-8523
(907) 942-5172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1264
AK
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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