Organization · NPI-2
Carr-Gottstein Foods Co
Pharmacy, Community/Retail Pharmacy · Eagle River, AK
NPI number1922037969
StatusActive
Last updated in NPPESMar 4, 2020
Details
- NPI
- 1922037969
- Entity type
- Organization (NPI-2)
- Legal business name
- Carr-Gottstein Foods Co
- Organization subpart
- No
- Enumeration date
- Jul 2, 2006
- Certification date
- Mar 4, 2020
- Last updated
- Mar 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | 318 | AK |
Other names
- Carrs Pharmacy #1807 (Doing Business As)
Practice location
11431 Business BlvdEagle River, AK 99577-7722
Phone 907-696-9460 · Fax 907-696-9419
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enrollments Mangaer
2083953954
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