NPI 1124627922

Southcentral Foundation

Organisation Clinic Pharmacy Anchorage, AK

Practice location

Address: 4320 Diplomacy Dr, Anchorage, AK 99508-5925
Phone: (907) 729-3300
Fax: (907) 729-5418
Mailing address: PO Box 35198, Seattle, WA 98124-5198

Authorised official

Name: Ronald Lee Olson
Title: Vp of Finance
Phone: (701) 729-4939

Registered specialties

Clinic Pharmacy Primary

Suppliers Taxonomy 3336C0002X

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Registry record

NPI: 1124627922
Entity type: Organization
NPI issued: 22 Oct 2020
Record last updated: 22 Oct 2020

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.