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Integrated Support Command Kodiak
Military/U.S. Coast Guard Pharmacy in Kodiak, Alaska
NPI 1720064884

Integrated Support Command Kodiak is a Military/U.S. Coast Guard Pharmacy based in Kodiak, AK. Integrated Support Command Kodiak practices in Kodiak, AK. The NPI Number for Integrated Support Command Kodiak is 1720064884 and holds a License No. (Alaska).

The current practice location address for Integrated Support Command Kodiak is Building N46 Cape Sarichef, Kodiak, AK and can be reached out via phone at 907-487-5757 and via fax at 907-487-5360.

Location: Building N46 Cape Sarichef, Kodiak, AK, 99619-5002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720064884
Provider Name
Integrated Support Command Kodiak
Credential
Provider Entity Type
Organization
Address
Building N46 Cape Sarichef, Kodiak, AK, 99619-5002
Phone Number
907-487-5757
Fax Number
907-487-5360
Provider Enumeration Date
12/21/2005
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
Building N46 Cape Sarichef
City
Kodiak
State
Alaska
Zip
99619-5002
Phone Number
907-487-5757
Fax Number
907-487-5360
person
Provider Business Mailing Address Details
Address
Building N46 Cape Sarichef
City
Kodiak
State
Alaska
Zip
99619-5002
Phone Number
907-487-5757
Fax Number
907-487-5360
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
NCPDP0202414 (Alaska)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
02D0666660 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Laboratories
Classification
Military Clinical Medical Laboratory
Speciality
-
Taxonomy
291900000X
License No.
(Alaska)
Definition
A Department of Defense (DoD) medical clinical reference laboratory not associated with a DoD Hospital or DoD Clinic. An example is the Armed Forces Institute of Pathology.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Military/U.S. Coast Guard Pharmacy
Speciality
-
Taxonomy
332000000X
License No.
(Alaska)
Definition
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
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