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GREAT LAND INFUSION PHARMACY INC

Home Infusion Therapy Pharmacy

Anchorage, Alaska

Provider NPI: 1437194206

Organization Information:
Organization Name:  GREAT LAND INFUSION PHARMACY INC


Practice Location:
2421 E TUDOR RD STE 107 ANCHORAGE, AK 99507 US
Tel: 907-561-2421  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0003XSuppliers
Pharmacy
Community/Retail Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336H0001XSuppliers
Pharmacy
AK429

Other Provider Identifiers:

IssuerNumberStateType
PH0429AK05
PK199706501
MS0429AK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PHARMACY JOBS AK - Page 1



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