Healthcare Provider Details

I. General information

NPI: 1568661098
Provider Name (Legal Business Name): LEANNA MORRELL STEPHENSON RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2007
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 S WOODWORTH LOOP
PALMER AK
99645-8984
US

IV. Provider business mailing address

8640 PIONEER DR
ANCHORAGE AK
99504-4216
US

V. Phone/Fax

Practice location:
  • Phone: 907-861-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHAP1038
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPHAP1038
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: