Great Land Infusion Pharmacy Inc

LBN: Great Land Infusion Pharmacy Inc
Great Land Infusion Pharmacy Inc is an health care organization with primary practice located at 2421 E Tudor Rd Ste 107, Anchorage AK 99507-1128. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Great Land Infusion Pharmacy Inc can be contacted via phone (907) 561-2421, or through Noaeill, Douglas Scott via phone (907) 561-2421.

Contact Information

Primary practice address
2421 E Tudor Rd Ste 107 Anchorage AK 99507-1128
Phone: (907) 561-2421
Fax: (907) 868-5154
Website:
Map and Directions
Authorized official contact:
Name: Noaeill, Douglas Scott RPH
Phone: (907) 561-2421

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 429 Alaska
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1437194206
LBN Legal business name Great Land Infusion Pharmacy Inc
DBA Doing business as Great Land Infusion Pharmacy Inc
Authorized official Noaeill, Douglas Scott RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Apr 27th, 2021 - about 3 years ago

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 1437194206 NPPES
Other 1997065 PK
MEDICAID PH0429 PK
MEDICAID MS0429 PK

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