MEDICARE: ANDREI DABU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	195112	AK

General Provider Information

NPI Number	:	1104515386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREI DABU

Provider Business Mailing Address
First Line	:	8181 GLACIER HWY
Second Line	:
City	:	JUNEAU
State	:	AK
Zip	:	99801-6920
Country	:	US
Telephone Number	:	907-789-6533
Fax Number	:

Provider Business Practice Location Address
First Line	:	8181 GLACIER HWY
Second Line	:
City	:	JUNEAU
State	:	AK
Zip	:	99801-6920
Country	:	US
Telephone Number	:	907-789-6533
Fax Number	:	907-789-6527

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2023
Last Update Date	:	05/03/2023

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Directions to “ ANDREI DABU ” Practice Location

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