INTEGRATED SUPPORT COMMAND KODIAK

KODIAK, AK
NPI1720064884
Doing Business AsROCKMORE-KING CLINIC
Entity TypeOrganization
Authorized ContactTODD LANE EMERSON
Clinic Administrator
907-487-5757
Organization Subpart ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Additional Taxonomies261QD0000X Clinic/Center, Dental
291900000X Military Clinical Medical Laboratory
(Licence: AK  02D0666660)
332000000X MilitaryU.S. Coast Guard Pharmacy
(Licence: AK  NCPDP0202414)
Enumeration Date2005-12-21
Last Update Date2008-07-28
Business Address
INTEGRATED SUPPORT COMMAND KODIAK
BUILDING N46 CAPE SARICHEF
KODIAK, AK 99619-5002
Phone number: 907-487-5757
Mailing Address
INTEGRATED SUPPORT COMMAND KODIAK
BUILDING N 46 CAPE SARLCHEF
KODIAK, AK 99619-5002
Phone number: 907-487-5757