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Provider Information for 1467051292


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NORTH POLE PRESCRIPTION LABORATORY INC

Other Names:  
Doing Business As: 
ALASKA FAMILY PHARMACY

Organization Subpart: NO

NPI: 1467051292
Last Updated: 2020-10-22
Certification Date: 2020-10-22

Details

NameValue
NPI1467051292
Enumeration Date2020-10-22
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Dr. HAJNALKA NEMETH PharmD
Title: PIC
Phone: 9074888555
Mailing Address 167 S SANTA CLAUS LN
NORTH POLE, AK 99705-7755
United States

Phone: 907-488-8555 | Fax:907-488-8556
 
Primary Practice Address 167 S SANTA CLAUS LN
NORTH POLE, AK 99705-7755
United States

Phone: 907-488-8555 | Fax:907-488-8556
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336C0002X - Pharmacy - Clinic Pharmacy