# ISLAND PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881776664
- **Authorized official:** BRUCE CHRISTENSEN (OWNER)
- **Authorized official phone:** (907) 225-6186

## Contact information

- **Practice address:** 3526 TONGASS AVE, KETCHIKAN, AK 99901-5635
- **Practice address phone:** (907) 225-6186
- **Practice address fax:** (907) 225-6187
- **Mailing address:** 3526 TONGASS AVE, KETCHIKAN, AK 99901-5635
- **Mailing address phone:** (907) 225-6186
- **Mailing address fax:** (907) 226-6187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 66 | AK | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 03/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0200496 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | MS0066 | — | AK |
| 05 | — | PH0066 | — | AK |