Providence Health Park Pharmacy

LBN: Providence Health & Services - Washington
Providence Health Park Pharmacy is an health care organization with primary practice located at 3841 Piper St Suite U230, Anchorage AK 99508-4624. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Providence Health & Services - Washington can be contacted via phone (907) 212-6868, or through Hofheins, Todd via phone (425) 525-3939.

Contact Information

Primary practice address
3841 Piper St Suite U230 Anchorage AK 99508-4624
Fax: (907) 212-4955
Website:
Authorized official contact:
Name: Hofheins, Todd

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1821271271
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as Providence Health Park Pharmacy
Authorized official Hofheins, Todd
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 7th, 2007
Last updated Jan 11th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821271271 NPPES
Alaska MEDICAID PH5893

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