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BANNER HEALTH NPI 1003008277


NPI Profile

NPI: 1003008277
Provider Name: BANNER HEALTH

Doing Business As: FAIRBANKS INFUSION PHARMACY

Classification:Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
1650 COWLES ST
DEPT 41B
FAIRBANKS, AK
ZIP 99701
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Phone: (907) 458-5621

BANNER HEALTH is a home infusion therapy pharmacy pharmacy in Fairbanks, AK. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. BANNER HEALTH NPI is 1003008277. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairbanks Infusion Pharmacy.

The provider's business location address is:

1650 COWLES ST
DEPT 41B
FAIRBANKS, AK
ZIP 99701-925
Phone: (907) 458-5621
Fax: (907) 458-5622

The provider's authorized official is John Edward Cotter .
The authorized official title is Director Of Pharmacy and has the following contact phone number (907) 458-5621.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 8/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336H0001XPharmacyHome Infusion Therapy Pharmacy423ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BF9516191OTHERDEA
20227721OTHERNCPDP
3423OTHERALASKASTATE PHARMACY LICENSE
4PH7755MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/13/2022

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