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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437194206 | NPPES |
| Other | 1997065 | PK | |
| MEDICAID | PH0429 | PK | |
| MEDICAID | MS0429 | PK |
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