Organization
CORDOVA COMMUNITY MEDICAL CENTER
Active
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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