Provider Demographics
NPI:1811583917
Name:KEENER, BRITTANY LAUREN (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LAUREN
Last Name:KEENER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:LAUREN
Other - Last Name:JARVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3900 AMBASSADOR DR STE 311
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5922
Mailing Address - Country:US
Mailing Address - Phone:907-729-2168
Mailing Address - Fax:
Practice Address - Street 1:3900 AMBASSADOR DR STE 311
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5922
Practice Address - Country:US
Practice Address - Phone:907-729-2168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV7036183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist