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NPI Code Detail

MEDICARE: THREE BEARS ALASKA, INC

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
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPHAR432AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21997064OTHERPK

General Provider Information

NPI Number : 1386655421
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 : BOX 814
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 : 10575 KENAI SPUR HWY
Second Line :
City : KENAI
State : AK
Zip : 99611-7812
Country : US
Telephone Number : 907-335-2061
Fax Number : 907-335-2062
Authorized Official
Title or Position : PRES
Name : PAUL SONNENBERG
Credential :
Telephone Number : 907-357-4311
Provider Enumeration Date : 08/11/2006
Last Update Date : 12/10/2025

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Directions to “THREE BEARS ALASKA, INC ” Practice Location

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