NPI 1003428251

Evan Michael Ambrose, PHARMD

Practitioner Pharmacist Anchorage, AK

Practice location

Address: 1650 W Northern Lights Blvd, Anchorage, AK 99517-3340
Phone: (907) 339-0560

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 163155 (AK)

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Registry record

NPI: 1003428251
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2020
Record last updated: 19 Aug 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.