Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Otis Pharmacy Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1982625943

Lake Otis Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2006.

Licensed in
AK
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4201 Lake Otis Pkwy
Anchorage, AK 99508-5214
Phone: (907) 563-7878
Fax: (907) 563-7879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 163 (AK)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1982625943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wesley Sutterlin — President · (907) 563-7878
Other names Lake Otis Pharmacy
NPI enumeratedJuly 22, 2006
Last updated in NPPESMarch 9, 2012
Mailing address4201 Lake Otis Pkwy, Anchorage, AK 99508-5214

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