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Contact Information

MAXWELL ILNICKIS, PHARMD
829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK99559-3362
 Phone: 907-543-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for MAXWELL ILNICKIS · (Male)

NPI Number 1952188310
Status Active
Credentials PHARMD (Doctor of Pharmacy)
Entity Individual
Enumeration date 09/11/2023
Last updated 05/14/2026 - About 3 weeks ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 249619
  • NJ License # 28RI04319800
  • NY License # 070688
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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