Kodiak Area Native Association Pharmacy

LBN: Kodiak Area Native Association Pharmacy
Kodiak Area Native Association Pharmacy is an health care organization with primary practice located at 3449 E Rezanof Dr , Kodiak AK 99615-6952. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Kodiak Area Native Association Pharmacy can be contacted via phone (907) 486-9860, or through Pfeffer, Michael via phone (907) 486-9801.

Contact Information

Primary practice address
3449 E Rezanof Dr Kodiak AK 99615-6952
Phone: (907) 486-9860
Fax: (907) 486-9895
Website:
Map and Directions
Authorized official contact:
Name: Pfeffer, Michael CEO
Phone: (907) 486-9801

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 107 Alaska

Profile Details

NPI number 1003973041
LBN Legal business name Kodiak Area Native Association Pharmacy
DBA Doing business as
Authorized official Pfeffer, Michael CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 25th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003973041 NPPES
Alaska MEDICAID 1028490
Alaska Other 107
Alaska Other 0201347

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