Organization
TRIBAL HOUSE PHARMACY
Active
Parent organization
KETCHIKAN INDIAN CORPORATION TRIBAL HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETCHIKAN INDIAN CORPORATION TRIBAL HEALTH CLINIC
Authorized official
DR. JIM LAMPKINS PHARMD (PHARMACIST)
(907) 225-3144
Entity
Organization
Contact information
Practice address
300 FRONT ST, KETCHIKAN, AK 99901-6418
(907) 225-3144
Mailing address
300 FRONT ST, KETCHIKAN, AK 99901-6418
(907) 225-3144
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
476
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PH2696
—
AK
Enumeration date
06/24/2011
Last updated
08/11/2011
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