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Ketchikan Indian Corporation
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Ketchikan, Alaska
NPI 1699983361

Ketchikan Indian Corporation is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Ketchikan, AK. Ketchikan Indian Corporation practices in Ketchikan, AK. The NPI Number for Ketchikan Indian Corporation is 1699983361 and holds a License No. (Alaska).

The current practice location address for Ketchikan Indian Corporation is 2960 Tongass Ave, Ketchikan, AK and can be reached out via phone at 907-225-0320 and via fax at 907-247-4819.

Location: 2960 Tongass Ave, Ketchikan, AK, 99901-5742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699983361
Provider Name
Ketchikan Indian Corporation
Credential
Provider Entity Type
Organization
Address
2960 Tongass Ave, Ketchikan, AK, 99901-5742
Phone Number
907-225-0320
Fax Number
907-247-4819
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0202325 01 NCPDP NUMBER
PH2696 05 AK
institution
Provider Business Practice Location Address Details
Address
2960 Tongass Ave
City
Ketchikan
State
Alaska
Zip
99901-5742
Phone Number
907-225-0320
Fax Number
907-247-4819
person
Provider Business Mailing Address Details
Address
2960 Tongass Ave
City
Ketchikan
State
Alaska
Zip
99901-5742
Phone Number
907-225-0320
Fax Number
907-247-4819
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.
()
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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