Cordova Community Medical Center Pharmacy
LBN: Cordova Community Medical Center
Cordova Community Medical Center Pharmacy is an health care organization with primary practice located at 602 Chase Ave , Cordova AK 99574. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Cordova Community Medical Center can be contacted via phone (907) 424-8017, or through Sanders, Hannah Joann via phone (907) 424-8200.
Contact Information
Primary practice address
602 Chase Ave
Cordova AK 99574
Phone: (907) 424-8017
Fax: (907) 424-8020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 126180 | Alaska |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1609395128 |
|---|---|
| LBN Legal business name | Cordova Community Medical Center |
| DBA Doing business as | Cordova Community Medical Center Pharmacy |
| Authorized official | Sanders, Hannah Joann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2017 |
| Last updated | Jun 25th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609395128 | NPPES |
| Alaska | MEDICAID | 1677242 | |
| Alaska | Other | 2171578 |
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