NPI 1003008277

Banner Health

Organisation Home Infusion Therapy Pharmacy Fairbanks, AK

Practice location

Address: 1650 Cowles St Dept 41b, Fairbanks, AK 99701-5925
Phone: (907) 458-5621
Fax: (907) 458-5622

Authorised official

Name: John Edward Cotter
Title: Director of Pharmacy
Phone: (907) 458-5621

Registered specialties

Home Infusion Therapy Pharmacy Primary

Suppliers Taxonomy 3336H0001X Licence 423 (AK)

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Registry record

NPI: 1003008277
Entity type: Organization
NPI issued: 13 Aug 2007
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.