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BANNER HEALTH

Medical Equipment Supplier Yellow Pages

Fairbanks, Alaska

Provider NPI: 1003008277

Organization Information:
Organization Name:  BANNER HEALTH


Practice Location:
1650 COWLES ST DEPT 41B FAIRBANKS, AK 99701 US
Tel: 907-458-5621  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336H0001XSuppliers
Pharmacy
Home Infusion Therapy Pharmacy
AK423

Other Provider Identifiers:

IssuerNumberStateType
DEABF951619101
STATE PHARMACY LICENSE423AK01
NCPDP022772101
PH7755AK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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