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DARRELL ACHESON PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1629407515

Individual Registrant:
 DARRELL  ACHESON PHARMD
Gender: M
Sole Proprietor

Location and contact information for practice:
4320 DIPLOMACY DRIVE  ANCHORAGE, AK 99508 US
Tel: 907-729-8874  Fax: 907-729-8870

Contact information for business:
4320 DIPLOMACY DRIVE  ANCHORAGE, AK 99508 US
Tel: 907-729-8874  Fax: 907-729-8870

Registration Information:
NPI: 1629407515
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
KS1-13816
N183500000XPharmacy Service Providers
Pharmacist
AK1962

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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