institution
Providence Health & Services Washington
Long Term Care Pharmacy in Kodiak, Alaska
NPI 1629054374

Providence Health & Services Washington is a Long Term Care Pharmacy based in Portland, AK and is specialized in Long Term Care Pharmacy. Providence Health & Services Washington practices in Kodiak, AK. The NPI Number for Providence Health & Services Washington is 1629054374 and holds a License No. 285 (Alaska).

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

Location: 1915 E Rezanof Dr, Kodiak, AK, 97208-3706
institution
Provider Profile Details
NPI Number
1629054374
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
1915 E Rezanof Dr, Kodiak, AK, 97208-3706
Phone Number
907-486-9550
Fax Number
Provider Enumeration Date
12/15/2005
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1915 E Rezanof Dr
City
State
Zip
99615-6602
Phone Number
907-486-9550
Fax Number
person
Provider Business Mailing Address Details
Address
1915 E Rezanof Dr
City
State
Zip
99615-6602
Phone Number
907-486-9550
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Critical Access
Taxonomy
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
License No.
285 (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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