Organization
MANIILAQ HEALTH CENTER PHARMACY
Active
Other names
MANIILAQ HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDY KANIKI PHRMD (PHRM CHIEF)
(907) 442-7336
Entity
Organization
Contact information
Practice address
5TH ST AND GRIZZLEY, KOTZEBUE, AK 99752
(907) 442-7182
(907) 442-7309
Mailing address
PO BOX 43, KOTZEBUE, AK 99752-0043
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996986
PK
—
05
—
HS190P
—
AK
Enumeration date
11/14/2006
Last updated
10/13/2016
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