Organization
PROVIDENCE SEWARD MEDICAL CENTER DRUG ROOM
Active
Other names
PROVIDENCE SEWARD MEDICAL CENTER DRUG ROOM
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
417 FIRST AVE, SEWARD, AK 99664-0365
(907) 224-7248
Mailing address
PO BOX 430, SEWARD, AK 99664-0430
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHAG23
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996582
PK
—
Enumeration date
09/28/2007
Last updated
05/12/2025
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