MEDICARE: THREE BEARS ALASKA INC.

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	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	433	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	433	OTHER	AK	STATE PHARMACY LICENSE #

General Provider Information

NPI Number	:	1376757310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE BEARS ALASKA INC.

Provider Business Mailing Address
First Line	:	7362 W PARKS HWY
Second Line	:
City	:	WASILLA
State	:	AK
Zip	:	99623-9300
Country	:	US
Telephone Number	:	907-357-4311
Fax Number	:	907-357-4312

Provider Business Practice Location Address
First Line	:	8151 E PALMER WASILLA HWY
Second Line	:
City	:	PALMER
State	:	AK
Zip	:	99645-8468
Country	:	US
Telephone Number	:	907-746-3891
Fax Number	:	907-746-3892

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAUL SONNENBERG SR.
Credential	:
Telephone Number	:	907-357-4311

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	12/10/2025

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Directions to “THREE BEARS ALASKA INC. ” Practice Location

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