NPI 1205146859
Professional Pharmacy LLC
Practice location
- Address
- 1001 Noble St, Fairbanks, AK 99701-4922
- Phone
- (907) 452-2556
- Mailing address
- 167 S. Santa Claus Lane, North Pole, AK 99705
Authorised official
- Name
- Leif Joseph Holm
- Title
- Vice-President/Pharmacist
- Phone
- (907) 488-8555
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1205146859
- Entity type
- Organization
- NPI issued
- 18 Oct 2010
- Record last updated
- 18 Oct 2010
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.