Basic Information
| Provider Information | |||||||||
| NPI: | 1720032741 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GIONET | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | JOSEPH | ||||||||
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| Credential: | RPH. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2841 DEBARR ROAD | ||||||||
| Address2: | #20 | ||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 99508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9072792425 | ||||||||
| FaxNumber: | 9072792426 | ||||||||
| Practice Location | |||||||||
| Address1: | 2841 DEBARR ROAD | ||||||||
| Address2: | #20 | ||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 99508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9072792425 | ||||||||
| FaxNumber: | 9072792426 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2006 | ||||||||
| LastUpdateDate: | 01/04/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 768 | AK | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.