Most Relevant Information
Provider Data
| NPI Number: | 1003428251 |
| Provider Name: | EVAN MICHAEL AMBROSE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 163155 |
Most Important Dates
| Enumeration Date: | 08/19/2020 |
| Last Updated: | 08/19/2020 |
Provider Practice Location
1650 W NORTHERN LIGHTS BLVD
ANCHORAGE
AK
995173340
Practice Location Phone/Fax
| Phone: | 9073390560 |
| Fax: |
Provider Mailing Location
1650 W NORTHERN LIGHTS BLVD
ANCHORAGE
AK
995173340
Provider Mailing Phone/Fax
| Phone: | 9073390560 |
| Fax: |