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Organization
BRISTOL BAY AREA HEALTH CORPORATION
Active
Organization
BRISTOL BAY AREA HEALTH CORPORATION
Active
Other names
KANAKANAK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J CLARK (CHIEF EXECUTIVE OFFICER)
(907) 842-5201
Entity
Organization
Contact information
Practice address
6000 KANAKANAK ROAD, DILLINGHAM, AK 99576
(907) 842-5201
(907) 842-9250
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-5201
(904) 842-9250
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
345
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202123
NABP
—
05
—
PH0067
—
AK
Enumeration date
03/13/2007
Last updated
03/07/2023
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