Denali Pharmacy

LBN: Foundation Health Llc
Denali Pharmacy is an health care organization with primary practice located at 1650 Cowles St Dept 41 C, Fairbanks AK 99701-5907. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Foundation Health Llc can be contacted via phone (907) 458-5615, or through Sudduth, Anthony G via phone (907) 458-5300.

Contact Information

Primary practice address
1650 Cowles St Dept 41 C Fairbanks AK 99701-5907
Phone: (907) 458-5615
Fax: (907) 458-5060
Website:
Map and Directions
Authorized official contact:
Name: Sudduth, Anthony G
Phone: (907) 458-5300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1306952247
LBN Legal business name Foundation Health Llc
DBA Doing business as Denali Pharmacy
Authorized official Sudduth, Anthony G
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Oct 2nd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306952247 NPPES
Alaska MEDICAID 1656561

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