OrganizationActive
Professional Pharmacy LLC
NPI 1205146859 · Community/Retail Pharmacy · Fairbanks, AK
Professional Pharmacy LLC is a Community/Retail Pharmacy organization in Fairbanks, AK (NPI 1205146859).
Provider details
- NPI number
- 1205146859
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Leif Holm, Vice-President/Pharmacist(907) 488-8555
- License
- 474 (AK)
Practice location
1001 Noble St
Fairbanks, AK 99701-4922
Phone: (907) 452-2556
Street-level locationGet directions
Mailing address
167 S. Santa Claus Lane
North Pole, AK 99705
Registry dates
- Enumerated
- 2010-10-18
- Last updated
- 2010-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.