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Kodiak Area Native Association Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Kodiak, Alaska
NPI 1003973041

Kodiak Area Native Association Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Kodiak, AK. Kodiak Area Native Association Pharmacy practices in Kodiak, AK. The NPI Number for Kodiak Area Native Association Pharmacy is 1003973041 and holds a License No. 107 (Alaska).

The current practice location address for Kodiak Area Native Association Pharmacy is 3449 E Rezanof Dr, Kodiak, AK and can be reached out via phone at 907-486-9860 and via fax at 907-486-9895.

Location: 3449 E Rezanof Dr, Kodiak, AK, 99615-6952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003973041
Provider Name
Kodiak Area Native Association Pharmacy
Credential
Provider Entity Type
Organization
Address
3449 E Rezanof Dr, Kodiak, AK, 99615-6952
Phone Number
907-486-9860
Fax Number
907-486-9895
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1028490 05 AK
107 01 AK STATE PHARMACY LICENSE #
0201347 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
3449 E Rezanof Dr
City
Kodiak
State
Alaska
Zip
99615-6952
Phone Number
907-486-9860
Fax Number
907-486-9895
person
Provider Business Mailing Address Details
Address
3449 E Rezanof Dr
City
Kodiak
State
Alaska
Zip
99615-6952
Phone Number
907-486-9860
Fax Number
907-486-9895
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
107 (Alaska)
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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