Healthcare Provider Details

I. General information

NPI: 1548263387
Provider Name (Legal Business Name): ALASKA INFUSION THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9109 MENDENHALL MALL RD STE 7A
JUNEAU AK
99801-7142
US

IV. Provider business mailing address

PO BOX 32960
JUNEAU AK
99803-2960
US

V. Phone/Fax

Practice location:
  • Phone: 907-789-7570
  • Fax: 907-789-7573
Mailing address:
  • Phone: 907-789-7570
  • Fax: 907-789-7573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License NumberPH407
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberPH407
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH407
License Number StateAK

VIII. Authorized Official

Name: MS. KATY FISHEL
Title or Position: PRESIDENT/OWNER
Credential: RPH
Phone: 907-789-7570