Healthcare Provider Details

I. General information

NPI: 1821528530
Provider Name (Legal Business Name): DARLENE KATHERINE HUNTINGTON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 W COWLES ST
FAIRBANKS AK
99701-5926
US

IV. Provider business mailing address

1717 W COWLES ST
FAIRBANKS AK
99701-5926
US

V. Phone/Fax

Practice location:
  • Phone: 907-459-3807
  • Fax: 907-459-3910
Mailing address:
  • Phone: 907-459-3807
  • Fax: 907-459-3910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number102109
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: