| NPI | 1194812024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HARRIS Se VP / CFO 907-463-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: AK 113762) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AK 113762) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-01-11 |