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NPI Code Detail

MEDICARE: DR. EMILY M PURRENHAGE PHARM.D.

MEDICARE: DR. EMILY M PURRENHAGE PHARM.D.
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
1183500000XPharmacist1965AK

General Provider Information

NPI Number : 1235439043
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY M PURRENHAGE PHARM.D.
Provider Business Mailing Address
First Line : 1650 W NORTHERN LIGHTS BLVD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99517-3340
Country : US
Telephone Number : 907-339-0560
Fax Number : 907-339-0519
Provider Business Practice Location Address
First Line : 1650 W NORTHERN LIGHTS BLVD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99517-3340
Country : US
Telephone Number : 907-339-0560
Fax Number : 907-339-0519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2010
Last Update Date : 10/26/2010

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