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Lake Otis Pharmacy Inc — NPI 1982625943, Anchorage, AK | NPI Central

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NPI 1982625943

OrganizationActive

Lake Otis Pharmacy Inc

NPI 1982625943 · Community/Retail Pharmacy · Anchorage, AK

Provider details

NPI number: 1982625943
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Wesley Sutterlin, President(907) 563-7878

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 163 (AK)
Suppliers
Compounding Pharmacy3336C0004X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

4201 Lake Otis Pkwy

Anchorage, AK 99508-5214

Phone: (907) 563-7878

Fax: (907) 563-7879

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

4201 Lake Otis Pkwy

Anchorage, AK 99508-5214

Other names (DBA / former)

Doing business as: Lake Otis Pharmacy

Registry dates

Enumerated: 2006-07-22
Last updated: 2012-03-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.