Provider Information for 1285778191
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STATE OF ALASKA
Other Names:Doing Business As:ALASKA PSYCHIATRIC INSTITUTE PHARMACYOrganization Subpart: NO
NPI: 1285778191
Last Updated: 2012-08-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285778191 | ||||||||
| Enumeration Date | 2007-02-16 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: RON ADLER Title: CEO Phone: 9072697105 | ||||||||
| Mailing Address | 3700 PIPER ST ANCHORAGE, AK 99508-4665 United States Phone: 907-269-7179 | Fax:907-561-0932 | ||||||||
| Primary Practice Address | 3700 PIPER ST ANCHORAGE, AK 99508-4665 United States Phone: 907-269-7179 | Fax:907-561-0932 | ||||||||
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