# TRIBAL HOUSE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KETCHIKAN INDIAN CORPORATION TRIBAL HEALTH CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316233570
- **Legal business name:** KETCHIKAN INDIAN CORPORATION TRIBAL HEALTH CLINIC
- **Authorized official:** DR. JIM LAMPKINS PHARMD (PHARMACIST)
- **Authorized official phone:** (907) 225-3144

## Contact information

- **Practice address:** 300 FRONT ST, KETCHIKAN, AK 99901-6418
- **Practice address phone:** (907) 225-3144
- **Mailing address:** 300 FRONT ST, KETCHIKAN, AK 99901-6418
- **Mailing address phone:** (907) 225-3144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 476 | AK | Yes |

## Other

- **Enumeration date:** 06/24/2011
- **Last updated:** 08/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PH2696 | — | AK |