Susitna Professional Pharmacy
Susitna Professional Pharmacy is a Pharmacy in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2005.
- Licensed in
- AK
- In the registry since
- 2005
- Specialties on file
- 4
Practice location Address checks out
1751 E Gardner Way Ste GWasilla, AK 99654-6564
Phone: (907) 373-7933
Fax: (907) 373-7939
Show map & directions
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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 408 (AK) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Mail Order Pharmacy | Taxonomy 3336M0002X |
| Specialty Pharmacy | Taxonomy 3336S0011X |
Record details
| NPI number | 1467441808 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Mundell — Executive Vp · (907) 373-7933 |
| Other names | Susitna Professional Pharmacy |
| NPI enumerated | October 18, 2005 |
| Last updated in NPPES | July 26, 2012 |
| Mailing address | 1751 E Gardner Way, Ste G, Wasilla, AK 99654-6564 |
Other providers in Wasilla
-
Pharmacy Partners, LLC
3831 E Blue Lupine Dr Ste A, Wasilla, AK 99654 · (907) 376-5700