Organization
CORDOVA COMMUNITY MEDICAL CENTER
Active
Other names
Cordova Community Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH JOANN SANDERS (CEO)
(907) 424-8200
Entity
Organization
Contact information
Practice address
602 CHASE AVE, CORDOVA, AK 99574
(907) 424-8017
(907) 424-8020
Mailing address
PO BOX 160, CORDOVA, AK 99574-0160
(907) 424-8254
(907) 424-8020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
126180
AK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1677242
—
AK
01
—
2171578
PK
—
Enumeration date
09/15/2017
Last updated
06/25/2021
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