NPI 1083165740

Fairbanks Memorial Hospital, LLC

Organisation Community/Retail Pharmacy Fairbanks, AK

Practice location

Address: 1650 Cowles St, Fairbanks, AK 99701-5907
Phone: (907) 458-5525

Authorised official

Name: Shelley D Ebenal
Title: General Counsel
Phone: (907) 458-5550

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X

Other Pharmacy providers in Alaska →

Registry record

NPI: 1083165740
Entity type: Organization
NPI issued: 18 Oct 2016
Record last updated: 18 Oct 2016

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.