Fairbanks Infusion Pharmacy

LBN: Banner Health
Fairbanks Infusion Pharmacy is an health care organization with primary practice located at 1650 Cowles St Dept 41B, Fairbanks AK 99701-5925. The organization recently has only one registered license in Suppliers / Home Infusion Therapy Pharmacy, which is considered as the primary health care specialty. Banner Health can be contacted via phone (907) 458-5621, or through Cotter, John Edward via phone (907) 458-5621.

Contact Information

Primary practice address
1650 Cowles St Dept 41B Fairbanks AK 99701-5925
Phone: (907) 458-5621
Fax: (907) 458-5622
Website:
Map and Directions
Authorized official contact:
Name: Cotter, John Edward RPH
Phone: (907) 458-5621

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 423 Alaska

Profile Details

NPI number 1003008277
LBN Legal business name Banner Health
DBA Doing business as Fairbanks Infusion Pharmacy
Authorized official Cotter, John Edward RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2007
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003008277 NPPES
Alaska MEDICAID PH7755
Alaska Other 423
Alaska Other 0227721

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