Provider Demographics
NPI:1467051292
Name:NORTH POLE PRESCRIPTION LABORATORY INC
Entity Type:Organization
Organization Name:NORTH POLE PRESCRIPTION LABORATORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:HAJNALKA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEMETH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:907-488-8555
Mailing Address - Street 1:167 S SANTA CLAUS LN
Mailing Address - Street 2:
Mailing Address - City:NORTH POLE
Mailing Address - State:AK
Mailing Address - Zip Code:99705-7755
Mailing Address - Country:US
Mailing Address - Phone:907-488-8555
Mailing Address - Fax:907-488-8556
Practice Address - Street 1:167 S SANTA CLAUS LN
Practice Address - Street 2:
Practice Address - City:NORTH POLE
Practice Address - State:AK
Practice Address - Zip Code:99705-7755
Practice Address - Country:US
Practice Address - Phone:907-488-8555
Practice Address - Fax:907-488-8556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy