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Foundation Health LLC

Pharmacy, Community/Retail Pharmacy in Fairbanks, AK. Organization (NPI-2).

NPI number1306952247
StatusActive
Last updated in NPPESOct 2, 2023

Details

NPI
1306952247
Entity type
Organization (NPI-2)
Legal business name
Foundation Health LLC
Organization subpart
No
Enumeration date
Aug 22, 2006
Certification date
Oct 2, 2023
Last updated
Oct 2, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
3336L0003X Pharmacy, Long Term Care Pharmacy––

Other names

  • Denali Pharmacy (Doing Business As)

Practice location

1650 Cowles St
Dept 41 C
Fairbanks, AK 99701-5907

Phone 907-458-5615 · Fax 907-458-5060

Mailing address

1650 Cowles St
Fairbanks, AK 99701-5907

Phone 907-458-5550 · Fax 907-458-5060

Authorized official

Anthony G Sudduth
Cfo
9074585300

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Retail Pharmacy providers in Fairbanks, AK

All 17 Community/Retail Pharmacy providers in Fairbanks · All 3,932 providers in Fairbanks

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