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Providence Health System-washington
Long Term Care Pharmacy in Kodiak, Alaska
NPI 1083695324

Providence Health System-washington is a Long Term Care Pharmacy based in Kodiak, AK and is specialized in Long Term Care Pharmacy. Providence Health System-washington practices in Kodiak, AK. The NPI Number for Providence Health System-washington is 1083695324 and holds a License No. PHAR355 (Alaska).

The current practice location address for Providence Health System-washington is 1915 E Rezanof Dr, Kodiak, AK and can be reached out via phone at 907-486-9550 and via fax at 907-486-9553.

Location: 1915 E Rezanof Dr, Kodiak, AK, 99615-6602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083695324
Provider Name
Providence Health System-washington
Credential
Provider Entity Type
Organization
Address
1915 E Rezanof Dr, Kodiak, AK, 99615-6602
Phone Number
907-486-9550
Fax Number
907-486-9553
Provider Enumeration Date
11/11/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1997047 01 PK
institution
Provider Business Practice Location Address Details
Address
1915 E Rezanof Dr
City
Kodiak
State
Alaska
Zip
99615-6602
Phone Number
907-486-9550
Fax Number
907-486-9553
person
Provider Business Mailing Address Details
Address
1915 E Rezanof Dr
City
Kodiak
State
Alaska
Zip
99615-6602
Phone Number
907-486-9550
Fax Number
907-486-9553
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Institutional Pharmacy
Taxonomy
3336I0012X
License No.
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Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PHAR355 (Alaska)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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