MEDICARE: NORTH POLE PRESCRIPTION LABORATORY 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	128081	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

General Provider Information

NPI Number	:	1770578296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH POLE PRESCRIPTION LABORATORY INC

Provider Business Mailing Address
First Line	:	167 SANTA CLAUS LANE
Second Line	:
City	:	NORTH POLE
State	:	AK
Zip	:	99705
Country	:	US
Telephone Number	:	907-488-8555
Fax Number	:	907-488-8556

Provider Business Practice Location Address
First Line	:	167 SANTA CLAUS LANE
Second Line	:
City	:	NORTH POLE
State	:	AK
Zip	:	99705
Country	:	US
Telephone Number	:	907-488-8555
Fax Number	:	907-488-8556

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LEIF JOSEPH HOLM
Credential	:	PHARMD
Telephone Number	:	907-488-8555

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	03/07/2023

Similar Medicare Providers

1740148287 — JESSE DANIEL CARPENTER
Practice Location Address:

3074 TIMBERBROOK DR
NORTH POLE, AK
99705-6700

Practice Phone: 575-642-8031
Practice Fax:

1558220475 — FRONTLINE COUNSELING & WELLNESS, LLC.
Practice Location Address:

1293 RANGE VIEW RD
NORTH POLE, AK
99705-5353

Practice Phone: 425-484-2603
Practice Fax: 425-476-3830

1225016652 — JULIANA B AMENT P.T.
Practice Location Address:

157 LEWIS ST
NORTH POLE, AK
99705-7699

Practice Phone: 907-488-4978
Practice Fax: 907-488-4976

1417935792 — MRS. HEATHER WOODS AGUSTINES P.T.
Practice Location Address:

167 S SANTA CLAUS LN
NORTH POLE, AK
99705-7755

Practice Phone: 907-488-4978
Practice Fax: 907-488-4976

1932170495 — MRS. LORI CHRISTINE MILOVANOVIC LPN
Practice Location Address:

3632 RON CIR
NORTH POLE, AK
99705-6829

Practice Phone: 907-353-1207
Practice Fax: 907-353-4850

1194754135 — CARR-GOTTSTEIN FOODS CO
Practice Location Address:

301 N SANTA CLAUS LN
NORTH POLE, AK
99705-6081

Practice Phone: 907-490-2760
Practice Fax: 907-490-2719

Directions to “NORTH POLE PRESCRIPTION LABORATORY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.