Local City Search for Medical Equipment Suppliers 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:
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:
2421 E TUDOR RD STE 107 ANCHORAGE, AK 99507 US
Tel: 907-561-2421 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 3336C0003X | Suppliers Pharmacy Community/Retail Pharmacy | ||
| N | 3336S0011X | Suppliers Pharmacy | ||
| Y | 3336H0001X | Suppliers Pharmacy | AK | 429 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PH0429 | AK | 05 | |
| PK | 1997065 | 01 | |
| MS0429 | AK | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
