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Susitna Professional Pharmacy
Specialty Pharmacy in Wasilla, Alaska
NPI 1467441808

Susitna Professional Pharmacy is a Specialty Pharmacy based in Wasilla, AK and is specialized in Specialty Pharmacy. Susitna Professional Pharmacy practices in Wasilla, AK. The NPI Number for Susitna Professional Pharmacy is 1467441808 and holds a License No. (Alaska).

The current practice location address for Susitna Professional Pharmacy is 1751 E Gardner Way, Wasilla, AK and can be reached out via phone at 907-373-7933 and via fax at 907-373-7939.

Location: 1751 E Gardner Way, Wasilla, AK, 99654-6564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467441808
Provider Name
Susitna Professional Pharmacy
Credential
Provider Entity Type
Organization
Address
1751 E Gardner Way, Wasilla, AK, 99654-6564
Phone Number
907-373-7933
Fax Number
907-373-7939
Provider Enumeration Date
10/18/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PH0266 05 AK
0202553 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1751 E Gardner Way
City
Wasilla
State
Alaska
Zip
99654-6564
Phone Number
907-373-7933
Fax Number
907-373-7939
person
Provider Business Mailing Address Details
Address
1751 E Gardner Way
City
Wasilla
State
Alaska
Zip
99654-6564
Phone Number
907-373-7933
Fax Number
907-373-7939
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Mail Order Pharmacy
Taxonomy
3336M0002X
License No.
408 (Alaska)
Definition
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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