NPI 1013603117

Ian Cirasunda Dettman, PHARMD

Practitioner Pharmacist Jber, AK

Practice location

Address: 5955 Zeamer Ave, Jber, AK 99506-3702
Phone: (907) 580-6800

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PHA.0024591 (CO)

Other Pharmacist providers in Alaska →

Registry record

NPI: 1013603117
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2023
Record last updated: 25 Oct 2024

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.