Organization
FRONTIER GROUP INC
Active
Other names
Frontier Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL LUJAN (CEO)
(907) 258-8618
Entity
Organization
Contact information
Practice address
2217 E TUDOR RD STE 18, ANCHORAGE, AK 99507-1068
(907) 222-0668
(907) 334-1030
Mailing address
907 E DOWLING RD STE 26, ANCHORAGE, AK 99518-1427
(907) 258-8618
(907) 563-9291
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
482
AK
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123038
PK
—
Enumeration date
11/19/2009
Last updated
07/02/2014
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