SUSITNA MEDISET SERVICES INC
Medical Equipment Supplier Yellow Pages
Wasilla, Alaska
Provider NPI: 1548455967
Organization Information:Organization Name: SUSITNA MEDISET SERVICES INC
Practice Location:
1751 E GARDNER WAY STE F WASILLA, AK 99654 US
Tel: 907-352-4306 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1751 E GARDNER WAY STE F WASILLA, AK 99654 US
Tel: 907-352-4306 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers Pharmacy Community/Retail Pharmacy | ||
Y | 3336L0003X | Suppliers Pharmacy | AK | 438 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PH0267 | AK | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0227810 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin