Healthcare Provider Details
I. General information
NPI: 1184804502
Provider Name (Legal Business Name): ADRIENNE H TVEIT PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/14/2007
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4320 DIPLOMACY DR
ANCHORAGE AK
99508-5925
US
IV. Provider business mailing address
7033 E TUDOR RD
ANCHORAGE AK
99507-1262
US
V. Phone/Fax
- Phone: 907-729-2159
- Fax:
- Phone: 907-729-9989
- Fax: 907-729-5180
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 226778 |
| License Number State | AK |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | PH00071666 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: